| Bloom Pediatric Therapy, Llc | |
|
169 Hickory Meadow Rd, Lexington, SC 29072-8883 | |
| (803) 546-7140 | |
| Not Available |
| Full Name | Bloom Pediatric Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 169 Hickory Meadow Rd, Lexington, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043641251 | NPI | - | NPPES |
| SA0823 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4150 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Pediatric Therapy, Llc 169 Hickory Meadow Rd, Lexington, SC 29072-8883 Ph: (803) 546-7140 | Bloom Pediatric Therapy, Llc 169 Hickory Meadow Rd, Lexington, SC 29072-8883 Ph: (803) 546-7140 |
Mrs. Jennifer Callis Lamberth, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 180 Midway Road, Midway Elementary School, Lexington, SC 29072 Phone: 803-821-1000 | |
Brandi Nichole Daves, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 459 Greenetree Ln, Lexington, SC 29072 Phone: 843-991-0997 | |
Leah M Ziegler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 Vista Springs Cir, Lexington, SC 29072 Phone: 803-359-3195 Fax: 803-520-8398 | |
Amanda Nicole Enders, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Tarrar Springs Rd, Lexington, SC 29072 Phone: 803-821-1000 | |
Shearin Mcneely Redfern, M.S.P. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 Vista Springs Cir, Lexington, SC 29072 Phone: 803-359-3195 Fax: 803-359-3195 | |
Kelly Sherwood Columbus, M.S.P, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 638 Longs Pond Rd, Lexington, SC 29073 Phone: 803-821-5522 |