| NPI | 1225800105 |
|---|---|
| Other Name | BLOOM SPEECH THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | NANCY DIANA SMITH Speech Language Pathologist 573-327-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |