Provider Demographics
NPI:1558901868
Name:KLINE, TORI (MA, ATR-BC, LPC,CBIS)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:KLINE
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC,CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 MERVINE ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-2341
Mailing Address - Country:US
Mailing Address - Phone:484-505-9253
Mailing Address - Fax:
Practice Address - Street 1:393 MERVINE ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-1946
Practice Address - Country:US
Practice Address - Phone:484-212-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional