Healthcare Provider Details

I. General information

NPI: 1801724505
Provider Name (Legal Business Name): GENTLE BLOOM SPEECH AND LANGUAGE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 METHODIST RD
WESTBROOK ME
04092-3212
US

IV. Provider business mailing address

643 METHODIST RD
WESTBROOK ME
04092-3212
US

V. Phone/Fax

Practice location:
  • Phone: 484-268-7084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN DROHAN
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: M.S., CCC-SLP
Phone: 484-268-7084