Provider Demographics
NPI:1538672225
Name:KLINGE ARENAS, ELIZABETH M (MH, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:KLINGE ARENAS
Suffix:
Gender:F
Credentials:MH, CCC-SLP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:ARENAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHS, CCC-SLP
Mailing Address - Street 1:3534 VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60513-1421
Mailing Address - Country:US
Mailing Address - Phone:708-655-7164
Mailing Address - Fax:
Practice Address - Street 1:3534 VERNON AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:60513-1421
Practice Address - Country:US
Practice Address - Phone:708-655-7164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008468235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist