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

Blossom Pediatric Speech Therapy

Organization Speech-Language Pathologist · NPI 1093221467

Blossom Pediatric Speech Therapy is a Speech-Language Pathologist in Petaluma, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

1796 Northstar Dr
Petaluma, CA 94954-6663
Phone: (707) 559-8308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14047001 (CA)

Record details

NPI number1093221467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Welensky — Speech-Language Pathologist, Owner · (707) 559-8308
NPI enumeratedDecember 21, 2017
Last updated in NPPESDecember 31, 2017
Mailing address1796 Northstar Dr, Petaluma, CA 94954-6663

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