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

Wild Bloom Speech and Language Therapy LLC

Organization Speech-Language Pathologist · NPI 1366237794

Wild Bloom Speech and Language Therapy LLC is a Speech-Language Pathologist in Boulder, Colorado. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4385 Comanche Dr Apt 1
Boulder, CO 80303-3670
Phone: (952) 381-7410
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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 number1366237794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Brellenthin — Speech-Language Pathologist · (952) 381-7410
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address4385 Comanche Dr Apt 1, Boulder, CO 80303-3670

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