OrganizationBlue Sage Pediatric Speech And Language Therapy LlcSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address106 Red Hawk Rdg, San Antonio, TX 78258-4865(210) 371-1910PECOS EnrollmentBased on the most recent information from CMS, provider Blue Sage Pediatric Speech And Language Therapy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285434308Provider TypeOrganizationFull NameBlue Sage Pediatric Speech And Language Therapy LlcSubpartNoEnumeration Date3/17/2025Last Updated3/17/2025Contact InformationPractice LocationPractice Address106 Red Hawk Rdg, San Antonio, TX 78258-4865Phone(210) 371-1910FaxUnlisted FaxMailing LocationMailing Address106 Red Hawk Rdg, San Antonio, TX 78258-4865PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameWomack, Deanna (Speech-Language Pathologist)Phone(210) 371-1910Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer