Provider Demographics
NPI:1295980191
Name:KLK ASSOCIATES
Entity type:Organization
Organization Name:KLK ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALIZA
Authorized Official - Middle Name:C P
Authorized Official - Last Name:ARZT
Authorized Official - Suffix:
Authorized Official - Credentials:MS-CCC
Authorized Official - Phone:617-953-3734
Mailing Address - Street 1:18 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1054
Mailing Address - Country:US
Mailing Address - Phone:781-687-9600
Mailing Address - Fax:781-687-9601
Practice Address - Street 1:18 NORTH RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1054
Practice Address - Country:US
Practice Address - Phone:781-687-9600
Practice Address - Fax:781-687-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty