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

Bloomington Pediatric Speech Therapy LLC

Organization Speech-Language Pathologist · NPI 1790571107

Bloomington Pediatric Speech Therapy LLC is a Speech-Language Pathologist in Bloomington, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

3002 Ge Rd Ste 2
Bloomington, IL 61704-2502
Phone: (309) 530-6982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X

Record details

NPI number1790571107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Garthaus — Speech-Language Pathologist · (309) 530-6982
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address26 Waterside Cir, Bloomington, IL 61704-2921

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