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Communication Blooms Speech Therapy INC.

Speech-Language Pathologist, in Lodi, CA. Organization (NPI-2).

NPI number1689445231
StatusActive
Last updated in NPPESMay 11, 2026

Details

NPI
1689445231
Entity type
Organization (NPI-2)
Legal business name
Communication Blooms Speech Therapy INC.
Organization subpart
No
Enumeration date
Jan 12, 2024
Certification date
May 11, 2026
Last updated
May 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1812 W Kettleman Ln Ste 1
Lodi, CA 95242-4209

Phone 209-242-4606

Mailing address

16966 E Front St
Linden, CA 95236-9751

Authorized official

Mackenzie Shiba
Owner/Slp
2092424606

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