Organization · Type 2 NPI

Bloom Center for Pediatric Therapy, LLC

Speech-Language Pathologist · Pocatello, ID

NPI number 1215397666 Active

Practice location

7677 W Portneuf Rd
Pocatello, ID 83204-7336

Call (208) 604-6260 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist Primary 235Z00000XSLP-2171 (ID)

Speech-Language Pathologist: 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, resonan…

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About NPI 1215397666

Bloom Center for Pediatric Therapy, LLC's National Provider Identifier is 1215397666, issued on Feb 27, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Pocatello, ID. The record was last updated on Apr 16, 2026.