Provider Demographics
NPI:1639383177
Name:KLEVIT, SHARI HOPE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:HOPE
Last Name:KLEVIT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 BROADFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:MAPLE GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3134
Mailing Address - Country:US
Mailing Address - Phone:215-518-4514
Mailing Address - Fax:
Practice Address - Street 1:1612 BROADFIELD CIR
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-3134
Practice Address - Country:US
Practice Address - Phone:215-518-4514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist