Provider Demographics
NPI:1033324652
Name:KLEIMAN, ISRAELLA KIM (MS, CMHS, MHP)
Entity Type:Individual
Prefix:MRS
First Name:ISRAELLA
Middle Name:KIM
Last Name:KLEIMAN
Suffix:
Gender:F
Credentials:MS, CMHS, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SW 160TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3025
Mailing Address - Country:US
Mailing Address - Phone:206-234-4803
Mailing Address - Fax:206-242-0162
Practice Address - Street 1:120 SW 160TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3025
Practice Address - Country:US
Practice Address - Phone:206-234-4803
Practice Address - Fax:206-242-0162
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist