NPI age
10 years
Enumerated 2016-02-27
● Active Type 2 · Organization
Bloom Center For Pediatric Therapy, Llc
Bloom Center For Pediatric Therapy, Llc is 1 of 1046 speech-language pathologist organizations in Idaho.
Primary specialty
Speech-Language Pathologist
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lance
Owner/speech Language Pathologist
Last NPPES update
2026-04-16
Source: monthly bulk 2026-05
How this organization compares
Across 1046 active speech-language pathologist providers in Idaho.
NPI age
10 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 9% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
7677 W Portneuf Rd
Pocatello, ID 832047336
Mailing address
7677 W Portneuf Rd
Pocatello, ID 832047336
Authorized official
Michelle Lee Lance, M.S. CCC-SLP
Owner/speech Language Pathologist
📞 2086046260
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kirsten Adams Speech-Language Pathologist NPI 1487140810
- Krista Hale, MS SLP Speech-Language Pathologist NPI 1578871505
- Ashley Jones, COTA/L Occupational Therapy Assistant NPI 1447732359
- Michelle Lance, SLP Speech-Language Pathologist NPI 1417261645
- Hannah Raschke-Flores Speech-Language Pathologist NPI 1073288908
Specialties
-
Speech-Language Pathologist PrimaryThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
-
Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
-
Physical TherapistPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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