Provider Demographics
NPI:1588834253
Name:KLEIN, SUSAN KAYE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KAYE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 E FREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1601
Mailing Address - Country:US
Mailing Address - Phone:303-220-9598
Mailing Address - Fax:303-220-9598
Practice Address - Street 1:8158 E 5TH AVE
Practice Address - Street 2:250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6444
Practice Address - Country:US
Practice Address - Phone:303-220-9598
Practice Address - Fax:303-220-9598
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-09
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO207106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist