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

Blossom Speech and Language Therapy

Organization Speech-Language Pathologist · NPI 1164174694

Blossom Speech and Language Therapy is a Speech-Language Pathologist in Modesto, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1101 Standiford Ave Ste A2
Modesto, CA 95350-0981
Phone: (209) 404-0333
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1164174694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marylyn Lucas — Owner · (209) 404-0333
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 18, 2022
Mailing address5819 Chenault Dr, Modesto, CA 95356-9621

Other providers in Modesto