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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 I
POCATELLO, ID
ZIP 83201
Phone: (208) 547-7145
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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 I
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 4/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-Language PathologistSLP-1548IDAHOYes
4261QH0700XClinic/CenterHearing and SpeechNo
5261QM1300XClinic/CenterMulti-SpecialtyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11235584939MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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