Provider Demographics
NPI:1457737181
Name:KLEIN, HADASSEH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:HADASSEH
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 KIRYAS RADIN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1331
Mailing Address - Country:US
Mailing Address - Phone:845-354-5274
Mailing Address - Fax:
Practice Address - Street 1:25 KIRYAS RADIN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1331
Practice Address - Country:US
Practice Address - Phone:845-354-5274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022166235Z00000X
NJ41YS00707500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist