Provider Demographics
NPI:1457651457
Name:SCHRANER-KLINENBERG, REBECCA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SCHRANER-KLINENBERG
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22330 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2536
Mailing Address - Country:US
Mailing Address - Phone:310-465-0300
Mailing Address - Fax:775-640-6822
Practice Address - Street 1:22330 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2536
Practice Address - Country:US
Practice Address - Phone:310-465-0300
Practice Address - Fax:775-640-6822
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP-8261235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist