Provider Demographics
NPI:1144097270
Name:KLEINMAN, SUSAN F (LMHC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:F
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 BEECHWOOD FARM LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-3098
Mailing Address - Country:US
Mailing Address - Phone:317-997-4616
Mailing Address - Fax:
Practice Address - Street 1:921 E 86TH ST STE 207
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1841
Practice Address - Country:US
Practice Address - Phone:317-997-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003888A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health