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BLOSSOM PEDIATRIC SPEECH THERAPY
NPI 1093221467
Speech-Language Pathologist in Petaluma, CA

Active since December 21, 2017
1796 NORTHSTAR DR, PETALUMA, CA 94954(707) 559-8308 Get Directions Write a Review

NPPES record last updated: December 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2017, Dec 21, 2017 (2 updates tracked since 2017).

About Blossom Pediatric Speech Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM PEDIATRIC SPEECH THERAPY (NPI 1093221467) is a healthcare organization registered as a speech-language pathologist in Petaluma, California and active in the NPI registry since December 2017. The organization lists Anne Welensky, Speech-language Pathologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1093221467
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBLOSSOM PEDIATRIC SPEECH THERAPY
Location Address1796 NORTHSTAR DRPetaluma, CA 94954-6663
Mailing Address1796 Northstar DrPetaluma, CA 94954-6663 · (404) 643-7126
Phone(707) 559-8308
Organization SubpartNo
Authorized OfficialAnne WelenskySpeech-language Pathologist, Owner · (707) 559-8308
Enumeration DateDecember 21, 2017
Last NPPES UpdateDecember 31, 20172 updates tracked since enumeration
✔ NPI 1093221467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 14047001
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1796 NORTHSTAR DR, Petaluma, CA 94954
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNE MARIE WELENSKY MCD CCC-SLP
Speech-Language Pathologist
1796 NORTHSTAR DR
PETALUMA, CA 94954
Sonoma County (404) 643-7126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Pediatric Speech Therapy's NPI number?

The NPI number for Blossom Pediatric Speech Therapy is 1093221467. It was assigned to this organization in the NPPES registry on December 21, 2017.

Where is Blossom Pediatric Speech Therapy located?

Blossom Pediatric Speech Therapy is located at 1796 Northstar Dr, Petaluma, CA 94954. The listed phone number is (707) 559-8308.

What is Blossom Pediatric Speech Therapy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Blossom Pediatric Speech Therapy was last updated on December 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.