| |
1882 Kilian Blvd, St Cloud, MN 56304-2132 | |
(320) 251-4038 | |
(320) 251-4038 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 1882 Kilian Blvd, St Cloud, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922163872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 5029 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
1882 Kilian Blvd, St Cloud, MN 56304-2132 Ph: (320) 251-4038 | 1882 Kilian Blvd, St Cloud, MN 56304-2132 Ph: (320) 251-4038 |
Mrs. Julia Anna Blonigen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1882 Kilian Blvd, St Cloud, MN 56304 Phone: 320-251-4038 Fax: 320-251-4038 |