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FULL BLOOM SPEECH LANGUAGE PATHOLOGY
NPI 1225877293
Speech-Language Pathologist in Cornelius, NC

Active since May 21, 2024
17111 KENTON DR STE 206B, CORNELIUS, NC 28031(937) 369-6613 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Full Bloom Speech Language Pathology NPPES

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

FULL BLOOM SPEECH LANGUAGE PATHOLOGY (NPI 1225877293) is a healthcare organization registered as a speech-language pathologist in Cornelius, North Carolina and active in the NPI registry since May 2024. The organization lists Amy Lynn Elder, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1225877293
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameFULL BLOOM SPEECH LANGUAGE PATHOLOGY
Location Address17111 KENTON DR STE 206BCornelius, NC 28031-5650
Mailing Address17031 Hugh Torance PkwyHuntersville, NC 28078-1276 · (937) 369-6613
Phone(937) 369-6613
Organization SubpartNo
Authorized OfficialAmy Lynn ElderSpeech Language Pathologist · (937) 369-6613
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1225877293 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.
17111 KENTON DR STE 206B, Cornelius, NC 28031
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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.

ERIN RENAE CROME MOT, OTR/L
Occupational Therapist (Pediatrics)
17111 KENTON DR STE 206B
CORNELIUS, NC 28031
Mecklenburg County (704) 237-4105
LOREN KLINE COTA/L
Occupational Therapy Assistant
17111 KENTON DR STE 206B
CORNELIUS, NC 28031
Mecklenburg County (704) 237-4105
COOL BEANS THERAPY CLUBHOUSE, LLC
Occupational Therapist (Pediatrics)
17111 KENTON DR STE 206B
CORNELIUS, NC 28031
Mecklenburg County (704) 237-4105
KAREN L CRILLY PT, MAPT, DPT
Physical Therapist (Pediatrics)
17111 KENTON DR STE 206B
CORNELIUS, NC 28031
Mecklenburg County (704) 892-8074

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 Full Bloom Speech Language Pathology's NPI number?

The NPI number for Full Bloom Speech Language Pathology is 1225877293. It was assigned to this organization in the NPPES registry on May 21, 2024.

Where is Full Bloom Speech Language Pathology located?

Full Bloom Speech Language Pathology is located at 17111 Kenton Dr Ste 206B, Cornelius, NC 28031. The listed phone number is (937) 369-6613.

What is Full Bloom Speech Language Pathology'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 Full Bloom Speech Language Pathology was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.