Organization
BLOOM SPEECH AND LANGUAGE THERAPY, PC
Active
Other names
Bloom Speech Company
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA KHAWAJA CCC-SLP (OWNER)
(909) 239-2815
Entity
Organization
Contact information
Practice address
3026 E BLACK HORSE DR, ONTARIO, CA 91761-9176
(909) 239-2815
Mailing address
3026 E BLACK HORSE DR, ONTARIO, CA 91761-9176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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