Provider Demographics
NPI:1417252370
Name:KLEIN, JOSEPH F (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:KLEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:APPALACHIAN STATE UNIVERSITY
Mailing Address - Street 2:ASU BOX 32165
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28608-2165
Mailing Address - Country:US
Mailing Address - Phone:828-262-2620
Mailing Address - Fax:828-262-3153
Practice Address - Street 1:400 UNIVERSITY HALL DRIVE
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28608-2041
Practice Address - Country:US
Practice Address - Phone:828-262-2185
Practice Address - Fax:828-262-6766
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9251235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist