Provider Demographics
NPI:1790792026
Name:KLEIN, DAVID H (MSW,ACSW,PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MSW,ACSW,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 E LANSING DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7785
Mailing Address - Country:US
Mailing Address - Phone:517-332-8275
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:1451 E LANSING DR
Practice Address - Street 2:SUITE 214
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7785
Practice Address - Country:US
Practice Address - Phone:517-332-8275
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL6523571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical