| Blossom Pediatric Speech Therapy | |
|
1796 Northstar Dr, Petaluma, CA 94954-6663 | |
| (707) 559-8308 | |
| Not Available |
| Full Name | Blossom Pediatric Speech Therapy |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1796 Northstar Dr, Petaluma, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093221467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14047001 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Pediatric Speech Therapy 1796 Northstar Dr, Petaluma, CA 94954-6663 Ph: (404) 643-7126 | Blossom Pediatric Speech Therapy 1796 Northstar Dr, Petaluma, CA 94954-6663 Ph: (707) 559-8308 |
Jill Buttwinick Zweier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Monroe St, Petaluma, CA 94954 Phone: 707-763-4109 Fax: 707-765-5714 | |
Ms. Elaine Maria Stevick, M.A., C.C.C.-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 Redwood Way, Suite 165, Petaluma, CA 94954 Phone: 707-763-6419 Fax: 707-763-2537 | |
Lori S Walker, M.A.,C.C.C. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 Redwood Way, Suite 165, Petaluma, CA 94954 Phone: 707-763-6419 Fax: 707-763-2537 | |
Alicia Lynn Starrett, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 Redwood Way, Suite 165, Petaluma, CA 94954 Phone: 707-763-6419 Fax: 707-763-2537 | |
Brooke Amanda Gonterman, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 628 Draco Dr, Petaluma, CA 94954 Phone: 415-419-4717 | |
Ninette Fonseca-chicca Ms Speech And Language Pathologist-ccc A Profes Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1295 Petaluma Blvd N Ste 5, Petaluma, CA 94952 Phone: 707-364-6075 Fax: 707-795-5709 |