Organization
BLOOMING KIDS SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PIERRE BENJAMIN M.S., CCC-SLP (OWNER)
(407) 288-0759
Entity
Organization
Contact information
Practice address
3599 SOUTHERN CROSS LOOP, KISSIMMEE, FL 34744-9005
(407) 288-0759
Mailing address
3599 SOUTHERN CROSS LOOP, KISSIMMEE, FL 34744-9005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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