Organization
BLOOM SPEECH AND VOICE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA STONE M.S., CCC-SLP (OWNER)
(208) 690-4717
Entity
Organization
Contact information
Practice address
2999 N LAKEHARBOR LN STE 202, BOISE, ID 83703-6291
(208) 690-4717
(208) 606-3684
Mailing address
16899 N CORNWALLIS WAY, NAMPA, ID 83687-8257
(208) 690-4717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
11/26/2024
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