Taylor Bledsoe, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Sour Lake, TX
NPI 1154074078 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1154074078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 117442 (TX)
- Practice address
- 115 Highway 326 S
Sour Lake, TX 77659-7871 - Phone
- (409) 554-0689
- Fax
- (409) 554-0483
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117442 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Speech & Language Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
115 Highway 326 S
Sour Lake, TX 77659
Phone (409) 554-0689
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 117442 | TX | Yes |
Addresses
Primary practice location
115 Highway 326 S
Sour Lake, TX 77659-7871
Mailing address
PO Box 310
Nome, TX 77629-0310
Phone (409) 659-2076
Other names
- Taylor Aldrich
Other providers in Sour Lake, TX
- Donna Ardoin
- Hannah Baisdon
- Bloom Speech & Language Therapy LLC
- Brookshire Brothers Inc
- Darlene Bryan
- Ginger Lee Coburn
- Amy Renee Dale
All providers in Sour Lake, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.