Early Blossoms Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EARLY BLOSSOMS SPEECH THERAPY

Practice address

5603 Hillview Way
Missoula, MT 59803-3133

Phone

(406) 285-1989

NPI assigned

Aug 23, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsey Jean Lyndes Glynn, MS, CCC-SLPNPI 1265015184

Title

Speech-Language Pathologist

Phone

(406) 285-1989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey Jean Lyndes Glynn, MS, CCC-SLP

  • Speech-Language Pathologist
  • Missoula, MT
  • NPI 1265015184
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1114750114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060162",
            "telephone_number": "406-285-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 HILLVIEW WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033133",
            "telephone_number": "406-285-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY BLOSSOMS SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "JEAN LYNDES",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "406-285-1989",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.