| Blooming Minds, Inc | |
|
1034 N 3rd St, Suite 5b, Coeur D Alene, ID 83814-3145 | |
| (208) 713-3463 | |
| Not Available |
| Full Name | Blooming Minds, Inc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1034 N 3rd St, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609253277 | NPI | - | NPPES |
| 1770954794 | Other | INDIVIDUAL NPI | |
| 1154671048 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-2231 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Minds, Inc 1034 N 3rd St, Suite 5b, Coeur D Alene, ID 83814-3145 Ph: (208) 713-3463 | Blooming Minds, Inc 1034 N 3rd St, Suite 5b, Coeur D Alene, ID 83814-3145 Ph: (208) 713-3463 |
Mrs. Wendy Ann Lucier, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-8276 | |
Madelyn Jayne Marie Dorenkamp, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Mary Carol Calaway, CCC S-LP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 | |
Alicia Johnson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Mrs. Cindy R. Goff, M.A.,SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4181 W Upriver Dr, Coeur D Alene, ID 83814 Phone: 208-305-9571 | |
Mr. Neil Norman Meyer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 Fax: 208-762-1680 | |
Mrs. Theresa Cross, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 |