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Blossom Pediatric Speech Therapy

Speech therapy practice in Petaluma, CA

NPI activeLicense # listed (CA)

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Public-record details

Address
1796 Northstar Dr, Petaluma, CA 94954
Phone
(707) 559-8308
Listed under
Speech therapy practices, Children's clinics (by name)
NPI
1093221467
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Speech-Language Pathologist (235Z00000X)
License number on NPI record
14047001 (CA)
Authorized official
Anne Welensky, MCD, CCC-SLP, Speech-Language Pathologist, Owner
NPI first issued
Dec 21, 2017
NPI record last updated
Dec 31, 2017

NPI 1093221467 is active in the federal NPPES registry (CMS); license 14047001 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Speech-language pathologists (SLPs) evaluate and treat speech sounds, language, stuttering, voice, and feeding and swallowing. Ask whether the clinic treats children and which ages.

View NPI 1093221467 in the official registry ↗

Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.

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