Provider Demographics
NPI:1518678408
Name:KLEEMAN, BRIAR J (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRIAR
Middle Name:J
Last Name:KLEEMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 UNITY AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2038
Mailing Address - Country:US
Mailing Address - Phone:319-329-6486
Mailing Address - Fax:
Practice Address - Street 1:6325 UNITY AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55429-2038
Practice Address - Country:US
Practice Address - Phone:319-329-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10548235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist