Provider Demographics
NPI:1669647103
Name:KLEEMAN, RANDEE LINN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RANDEE
Middle Name:LINN
Last Name:KLEEMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6275 KENTSTONE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4859
Mailing Address - Country:US
Mailing Address - Phone:317-691-7303
Mailing Address - Fax:317-536-3590
Practice Address - Street 1:6275 KENTSTONE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4859
Practice Address - Country:US
Practice Address - Phone:317-691-7303
Practice Address - Fax:317-536-3590
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003686A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist