Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bloom Pediatric Speech LLC

Organization Speech-Language Pathologist · NPI 1275453292

Bloom Pediatric Speech LLC is a Speech-Language Pathologist in Oklahoma City, Oklahoma. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 NW 150th St
Oklahoma City, OK 73134-2004
Phone: (918) 527-5360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14820 Marbleleaf Dr, Edmond, OK 73013-1468 — (918) 527-5360

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1275453292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kasey Wickberg — Speech Language Pathologist · (918) 527-5360
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address14820 Marbleleaf Dr, Edmond, OK 73013-1468

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