OrganizationActive
Bloom Pediatric Therapy
NPI 1831894815 · Speech-Language Pathologist · Mount Juliet, TN
Provider details
- NPI number
- 1831894815
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Kelcy Bonham, Owner(615) 208-4849
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Lactation Consultant (Non-RN)174N00000X
Other Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
Practice location
2730 N Mount Juliet Rd
Mount Juliet, TN 37122-8018
Phone: (615) 208-4849
Approximate (ZIP-level) locationGet directions
Mailing address
2730 N Mount Juliet Rd
Mount Juliet, TN 37122-8018
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.