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BLOSSOM SPEECH AND LANGUAGE THERAPY
NPI 1164174694
Speech-Language Pathologist in Modesto, CA

Active since January 26, 2022
1101 STANDIFORD AVE STE A2, MODESTO, CA 95350(209) 404-0333 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blossom Speech And Language Therapy NPPES

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

BLOSSOM SPEECH AND LANGUAGE THERAPY (NPI 1164174694) is a healthcare organization registered as a speech-language pathologist in Modesto, California and active in the NPI registry since January 2022. The organization lists Marylyn Lucas, Owner, as its authorized official.

NPPES Registry Identity

NPI1164174694
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBLOSSOM SPEECH AND LANGUAGE THERAPY
Location Address1101 STANDIFORD AVE STE A2Modesto, CA 95350-0981
Mailing Address5819 Chenault DrModesto, CA 95356-9621 · (209) 404-0333
Phone(209) 404-0333
Organization SubpartNo
Authorized OfficialMarylyn LucasOwner · (209) 404-0333
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1164174694 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
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.
1101 STANDIFORD AVE STE A2, Modesto, CA 95350
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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 4

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

IYACSIRI BARRERA
Speech-Language Pathologist
1101 STANDIFORD AVE STE A2
MODESTO, CA 95350
Stanislaus County (661) 903-6213
GISELLE ANAHI GONZALEZ SOLIS
Speech-Language Pathologist
1101 STANDIFORD AVE STE A2
MODESTO, CA 95350
Stanislaus County (209) 202-1215
ALLISON KELLERT SLP
Speech-Language Pathologist
1101 STANDIFORD AVE STE A2
MODESTO, CA 95350
Stanislaus County (209) 480-4492
BETH ROKAITIS SLP
Speech-Language Pathologist
1101 STANDIFORD AVE STE A2
MODESTO, CA 95350
Stanislaus County (209) 404-0333

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 Speech And Language Therapy's NPI number?

The NPI number for Blossom Speech And Language Therapy is 1164174694. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Blossom Speech And Language Therapy located?

Blossom Speech And Language Therapy is located at 1101 Standiford Ave Ste A2, Modesto, CA 95350. The listed phone number is (209) 404-0333.

What is Blossom Speech And Language 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 Speech And Language Therapy was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.