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NPI Code Detail

MEDICARE: TINY BLOOMS SPEECH LLC

MEDICARE: TINY BLOOMS SPEECH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1306798913
Entity Type Code : Organization
Provider Name (Legal Business Name) : TINY BLOOMS SPEECH LLC
Provider Business Mailing Address
First Line : 8440 CREEKSIDE GREEN DR APT 4309
Second Line :
City : SPRING
State : TX
Zip : 77389-5437
Country : US
Telephone Number : 402-680-8973
Fax Number :
Provider Business Practice Location Address
First Line : 8440 CREEKSIDE GREEN DR APT 4309
Second Line :
City : SPRING
State : TX
Zip : 77389-5437
Country : US
Telephone Number : 402-680-8973
Fax Number :
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : MICHAELA C GARZA
Credential : M.S. CCC-SLP
Telephone Number : 402-680-8973
Provider Enumeration Date : 02/14/2026
Last Update Date : 02/14/2026

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Directions to “TINY BLOOMS SPEECH LLC ” Practice Location

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