Organization
KELLY A BLASKO PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY BLASKO PH.D, LP (PSYCHOLOGIST)
(253) 247-4288
Entity
Organization
Contact information
Practice address
1615 N STEVENS ST, TACOMA, WA 98406-3827
(253) 247-4288
Mailing address
3801 N. 27TH ST. #6844, TACOMA, WA 98407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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