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

Full Bloom Speech Language Pathology

Organization Speech-Language Pathologist · NPI 1225877293

Full Bloom Speech Language Pathology is a Speech-Language Pathologist in Cornelius, North Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

17111 Kenton Dr Ste 206B
Cornelius, NC 28031-5650
Phone: (937) 369-6613
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 number1225877293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Elder — Speech Language Pathologist · (937) 369-6613
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address17031 Hugh Torance Pkwy, Huntersville, NC 28078-1276

Other providers in Cornelius