| Kelly A Blasko Phd Llc | |
|
1615 N Stevens St Tacoma WA 98406-3827 | |
| (253) 247-4288 | |
| Not Available |
| Full Name | Kelly A Blasko Phd Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1615 N Stevens St, Tacoma, Washington |
| Authorized Official Name and Position | Kelly Blasko (PSYCHOLOGIST) |
| Authorized Official Contact | 2532474288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A Blasko Phd Llc 3801 N. 27th St. #6844 Tacoma WA 98407 Ph: () - | Kelly A Blasko Phd Llc 1615 N Stevens St Tacoma WA 98406-3827 Ph: (253) 247-4288 |
| NPI Number | 1538884549 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538884549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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