Individual
MR. MATTHEW ROBERT HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
2210 LELARAY ST, COLORADO SPRINGS, CO 80909-2220
(719) 475-0477
Mailing address
2210 LELARAY ST, COLORADO SPRINGS, CO 80909-2220
(719) 475-0477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 18305
CA
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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