Organization
BLOOM SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN BOOTH (MANAGING MEMBER)
(860) 685-0819
Entity
Organization
Contact information
Practice address
92 SENATE BROOK DR, AMSTON, CT 06231-1521
(860) 685-0819
Mailing address
PO BOX 852, GLASTONBURY, CT 06033-0852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/27/2020
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