Organization
SPEECH THERAPY KIRKLAND
Active
Other names
Dawn S Blomberg, M.S., CCC-SLP, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN S BLOMBERG M.S., CCC-SLP (OWNER)
(206) 963-6252
Entity
Organization
Contact information
Practice address
9827 NE 120TH PL, KIRKLAND, WA 98034-6253
(206) 963-6252
(425) 272-4253
Mailing address
9827 NE 120TH PL, KIRKLAND, WA 98034-6253
(206) 963-6252
(425) 272-4253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7132103
—
WA
Enumeration date
03/30/2015
Last updated
03/30/2015
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