Doctor Name: | MRS. SHARON LYNN KLEIN |
NPI Number: | 1023332681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1118061 |
Business Practice Address: | 3209 Milburn Ave Baldwin, NY - 115104932 |
Business Phone Number: | 5168261837 |
Business Fax Number: | |
Mailing Address: | 2158 Willow St, WANTAGH |
State: | NY |
Postal Code: | 117934223 |
Phone Number: | 6318354869 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 1118061 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |