Provider Demographics
NPI:1023258647
Name:KLEINER, ROCHELLE LISA (MS, SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:LISA
Last Name:KLEINER
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:MS
Other - First Name:ROCHELLE
Other - Middle Name:LISA
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, SLP-CCC
Mailing Address - Street 1:14425 70TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1717
Mailing Address - Country:US
Mailing Address - Phone:718-544-8351
Mailing Address - Fax:
Practice Address - Street 1:649 39TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-3101
Practice Address - Country:US
Practice Address - Phone:718-972-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-21
Last Update Date:2009-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist