Provider Demographics
NPI:1720232960
Name:KLEMP, EMILY JOAN (AUD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JOAN
Last Name:KLEMP
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 2ND AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5645
Mailing Address - Country:US
Mailing Address - Phone:646-438-7802
Mailing Address - Fax:
Practice Address - Street 1:380 SECOND AVE--9TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5645
Practice Address - Country:US
Practice Address - Phone:646-438-7802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY57002192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1209757-2OtherAMERICAN ACADEMY OF SPEECH HEARING ASSOCIATION
NY57002192OtherSTATE LICENSE NUMBER