Organization
DIMENSIONS SPEECH LANGUAGE AND LEARNING SERVICES, NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY N BLOOM MS CCC SLP (SPEECH PATHOLOGIST)
(954) 236-9415
Entity
Organization
Contact information
Practice address
12545 ORANGE DR STE 502, DAVIE, FL 33330-4306
(954) 236-9415
(954) 236-9415
Mailing address
8075 NW 15TH MNR, PLANTATION, FL 33322-5453
(954) 424-1630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09134279
ASHA
FL
05
—
888506100
—
FL
Enumeration date
04/10/2007
Last updated
10/29/2008
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