| Bloom Speech Therapy Services, Llc | |
|
200 W 1st St Ste 101, Farmington, MO 63640-2521 | |
| (573) 327-1510 | |
| Not Available |
| Full Name | Bloom Speech Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 200 W 1st St Ste 101, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225800105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Nancy Diana Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720447089 PECOS PAC ID: 3678935756 Enrollment ID: I20230822001833 |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Speech Therapy Services, Llc 210 S Harding St, Desloge, MO 63601-2956 Ph: (573) 327-1510 | Bloom Speech Therapy Services, Llc 200 W 1st St Ste 101, Farmington, MO 63640-2521 Ph: (573) 327-1510 |
Emily Ann Goodson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1040 Forster St, Farmington, MO 63640 Phone: 573-701-1345 | |
Tanya Welch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 708 S Fleming St, Farmington, MO 63640 Phone: 573-701-1340 Fax: 573-701-1349 | |
Lisa Schlegel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9 Summit Dr, Farmington, MO 63640 Phone: 573-701-1360 | |
Randy A. Stepp, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Maple Valley Dr, Farmington, MO 63640 Phone: 573-756-2999 Fax: 573-756-6195 | |
Mrs. Kristin L Yow, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5908 Feezer Rd, Farmington, MO 63640 Phone: 573-760-1418 | |
Sarah Elizabeth Flowers, M.A. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1108 W Liberty St, Farmington, MO 63640 Phone: 573-450-1630 |