Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Full Bloom Speech Language Pathology

Organization Speech-Language Pathologist · NPI 1225877293

Full Bloom Speech Language Pathology provides Speech-Language Pathologist services 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

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