Bloom Pediatric Therapy
NPI #1831894815 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1831894815
- Entity Type
- Organization
- Organization Name
- Bloom Pediatric Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 31, 2023
- Last Updated
- Sep 19, 2024
Practice Location
- Address
- 2730 N MOUNT JULIET RD
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-8018
- Phone
- (615) 208-4849
Authorized Official
- Name
- KELCY VICTORIA BONHAM, SLP, CLC
- Title
- OWNER
- Phone
- (615) 208-4849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Lactation Consultant, Non-RN |
| Occupational Therapist |
| Clinic/Center - Hearing and Speech — Hearing and Speech |
| Speech-Language Pathologist |
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