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

Blossom Speech and Language Therapy Tn, Inc

Organization Speech-Language Pathologist · NPI 1477354389

Blossom Speech and Language Therapy Tn, Inc is a Speech-Language Pathologist in Modesto, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5819 Chenault Dr
Modesto, CA 95356-9621
Phone: (209) 404-0333
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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

Record details

NPI number1477354389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marylyn Lucas — Owner, Slp · (209) 404-0333
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address5819 Chenault Dr, Modesto, CA 95356-9621

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