Organization
BLOOM BILINGUAL SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA SERRANO M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST- OWNER)
(817) 627-8471
Entity
Organization
Contact information
Practice address
1201 EVANS AVE STE 100, FORT WORTH, TX 76104-5179
(682) 207-1612
Mailing address
1201 EVANS AVE STE 100 BOX NUMBER 12A, FORT WORTH, TX 76104-5179
(682) 207-1612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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