Provider Demographics
NPI:1619296167
Name:KLING, MONA SOPHIE NORMA (PHD, MS)
Entity Type:Individual
Prefix:MS
First Name:MONA SOPHIE
Middle Name:NORMA
Last Name:KLING
Suffix:
Gender:F
Credentials:PHD, MS
Other - Prefix:MRS
Other - First Name:MONA SOPHIE
Other - Middle Name:NORMA
Other - Last Name:FENICHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:157 CHESTNUT CROSSING DR
Mailing Address - Street 2:#L
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2646
Mailing Address - Country:US
Mailing Address - Phone:302-533-7122
Mailing Address - Fax:
Practice Address - Street 1:144 BRENNEN DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-3906
Practice Address - Country:US
Practice Address - Phone:302-454-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0001240235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist