Provider Demographics
NPI:1922157361
Name:KLEIN, LYNNE HOPE (MSS, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:HOPE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N HARRISON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3524
Mailing Address - Country:US
Mailing Address - Phone:609-683-9099
Mailing Address - Fax:
Practice Address - Street 1:330 N HARRISON ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3524
Practice Address - Country:US
Practice Address - Phone:609-683-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01385600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ043728Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID#