Doctor Name: | JEFFREY S KLEIN |
NPI Number: | 1861793515 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | 15792 |
Business Practice Address: | 1115 S Sunset Ave West Covina, CA - 917903940 |
Business Phone Number: | 6269624011 |
Business Fax Number: | 6268142595 |
Mailing Address: | 315 S Mills Ave, CLAREMONT |
State: | CA |
Postal Code: | 917115332 |
Phone Number: | 9096266834 |
Fax Number: | 9096266834 |
NPI Enumeration Date: | 11/11/2010 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |