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Bloom Center For Pediatric Therapy
Speech-Language Pathologist in Pocatello, Idaho
NPI 1215397666

Bloom Center For Pediatric Therapy is a Speech-Language Pathologist based in Pocatello, ID. Bloom Center For Pediatric Therapy practices in Pocatello, ID. The NPI Number for Bloom Center For Pediatric Therapy is 1215397666 and holds a License No. SLP-2171 (Idaho).

The current practice location address for Bloom Center For Pediatric Therapy is 7677 W Portneuf Rd, Pocatello, ID and can be reached out via phone at 208-604-6260.

Location: 7677 W Portneuf Rd, Pocatello, ID, 83204-7336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215397666
Provider Name
Bloom Center For Pediatric Therapy
Credential
Provider Entity Type
Organization
Address
7677 W Portneuf Rd, Pocatello, ID, 83204-7336
Phone Number
208-604-6260
Fax Number
Provider Enumeration Date
02/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417261645 01 ID MICHELLE LANCE
1578871505 01 ID KRISTA HALE
institution
Provider Business Practice Location Address Details
Address
7677 W Portneuf Rd
City
Pocatello
State
Idaho
Zip
83204-7336
Phone Number
208-604-6260
Fax Number
person
Provider Business Mailing Address Details
Address
7677 W Portneuf Rd
City
Pocatello
State
Idaho
Zip
83204-7336
Phone Number
208-604-6260
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SLP-2171 (Idaho)
Definition
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.
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