Organization
BLOSSOM NEURO SPEECH & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON FERGUSON MS, CCC-SLP (OWNER/MEMBER)
(502) 208-9588
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 3358, LOUISVILLE, KY 40217-1415
(502) 208-9588
Mailing address
1169 EASTERN PKWY STE 3358, LOUISVILLE, KY 40217-1415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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