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

Organization Speech-Language Pathologist · NPI 1376328203

Blossom Speech Therapy PLLC is a Speech-Language Pathologist in Flushing, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14739 76th Ave Apt 2D
Flushing, NY 11367-3161
Phone: (646) 244-4865
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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 number1376328203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zinaida Natanelova — Speech Language Pathologist · (646) 244-4865
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address14739 76th Ave Apt 2d, Flushing, NY 11367-3161

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