Provider Demographics
NPI:1780005991
Name:KLIER, FAYE ROCHELLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:ROCHELLE
Last Name:KLIER
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 1:15645 84TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2645
Mailing Address - Country:US
Mailing Address - Phone:718-738-1800
Mailing Address - Fax:718-848-8683
Practice Address - Street 1:15645 84TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2645
Practice Address - Country:US
Practice Address - Phone:718-738-1800
Practice Address - Fax:718-848-8683
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016486235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist