Doctor Name: | MR. RICHARD LEE KLEINSTIVER |
NPI Number: | 1033438395 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 6801079602 |
Business Practice Address: | 6515 Highland Rd Ste. 110 Waterford, MI - 483271668 |
Business Phone Number: | 2487380301 |
Business Fax Number: | |
Mailing Address: | 669 Estes Ct, WATERFORD |
State: | MI |
Postal Code: | 483271730 |
Phone Number: | 2489319989 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2010 |
NPI Last Update Date: | 03/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801079602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |