SPEECH BLOSSOMS LLC NPI 1285125203

NPI Information

  • NPI: 1285125203
  • Provider Name: SPEECH BLOSSOMS LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 1448 E CENTER ST STE G
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 547-7145

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NPI Details

SPEECH BLOSSOMS LLC is a speech language pathologist in Pocatello, ID. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SPEECH BLOSSOMS LLC NPI is 1285125203. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1448 E CENTER ST STE G
POCATELLO, ID
ZIP 83201-132
Phone: (208) 547-7145
Fax: (844) 671-7145

The provider's authorized official is Patricia Ann Taylor .
The authorized official title is Owner / Provider and has the following contact phone number (208) 547-7145.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2225XP0200XOccupational TherapistPediatricsNo
3261QH0700XClinic/CenterHearing and SpeechNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5235Z00000XSpeech-Language PathologistSLP-1548IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11285125203MEDICAIDIDAHO

What is NPI?

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This page was last updated on: 3/30/2025

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