Full Bloom Speech Language Pathology

Speech-Language Pathologist · Cornelius, NC

Organization Active NPI

NPI number 1225877293

Practice location

17111 Kenton Dr Ste 206b
Cornelius, NC 28031-5650
Phone
(937) 369-6613

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NPI record

NPI
1225877293
Entity type
Organization (Type 2)
Enumeration date
May 21, 2024
Last updated
May 21, 2024
Certified
May 21, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

17031 Hugh Torance Pkwy
Huntersville, NC 28078-1276
Phone
(937) 369-6613

Authorized official

Name
Mrs. Amy Lynn Elder, MA, SLP
Title
Speech Language Pathologist
Phone
(937) 369-6613

About Full Bloom Speech Language Pathology

Full Bloom Speech Language Pathology is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 17111 Kenton Dr Ste 206b, Cornelius, NC 28031-5650. The NPI number 1225877293 was assigned on May 21, 2024 and the record was last updated on May 21, 2024.

The authorized official for this organization is Mrs. Amy Lynn Elder, MA, SLP, Speech Language Pathologist.

Frequently asked questions

What is the NPI number of Full Bloom Speech Language Pathology?

The NPI number is 1225877293.

What is the phone number of Full Bloom Speech Language Pathology?

The phone number listed for the practice location is (937) 369-6613.

Where is Full Bloom Speech Language Pathology located?

17111 Kenton Dr Ste 206b, Cornelius, NC 28031-5650.

What is the taxonomy code for Full Bloom Speech Language Pathology?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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