Blossom Speech and Language Therapy
NPI 1164174694 · Speech-Language Pathologist · Modesto, CA
Blossom Speech and Language Therapy is a Speech-Language Pathologist organization in Modesto, CA (NPI 1164174694).
Provider details
- NPI number
- 1164174694
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Marylyn Lucas, Owner(209) 404-0333
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-26
- Last updated
- 2022-01-26
- Certified
- 2022-01-18
Frequently asked questions
- What is Blossom Speech and Language Therapy's NPI number?
- Blossom Speech and Language Therapy's National Provider Identifier (NPI) is 1164174694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Speech and Language Therapy?
- Blossom Speech and Language Therapy is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Blossom Speech and Language Therapy located?
- Blossom Speech and Language Therapy's practice location on file with NPPES is 1101 Standiford Ave Ste A2, Modesto, CA 95350-0981.
- What is Blossom Speech and Language Therapy's phone number?
- The practice phone number listed in the NPPES registry for Blossom Speech and Language Therapy is (209) 404-0333.
- Who is the authorized official for Blossom Speech and Language Therapy?
- The authorized official listed on Blossom Speech and Language Therapy's NPPES record is Marylyn Lucas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Speech and Language Therapy's NPI active?
- Yes — Blossom Speech and Language Therapy's NPI (1164174694) is active in the NPPES registry as of the last update on 2022-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.