Doctor Name: | DEBORAH ANN KLASZKY |
NPI Number: | 1043554033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00184400 |
Business Practice Address: | 42 E Laurel Rd Udp #1800 Stratford, NJ - 080841354 |
Business Phone Number: | 8565666843 |
Business Fax Number: | 8565666419 |
Mailing Address: | 42 E Laurel Rd, Udp #1800 STRATFORD |
State: | NJ |
Postal Code: | 080841354 |
Phone Number: | 8565666843 |
Fax Number: | 8565666419 |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NJ00184400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |