Provider Demographics
NPI:1982916185
Name:KLEINERMAN, LINDA ROSEANNE (SPEEC THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ROSEANNE
Last Name:KLEINERMAN
Suffix:
Gender:F
Credentials:SPEEC THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 EAST 57 ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-758-8658
Mailing Address - Fax:
Practice Address - Street 1:430 EAST 57ST
Practice Address - Street 2:10022
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-758-8658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0026461235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist