Active NPI
Christine Klocheska, MA CCC-SLP
- Speech-Language Pathologist
- Holland, OH
National Provider Identifier
1124571203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP. 10962
- Practice address
- 1133 Corporate Dr
Holland, OH 43528-7405 - Phone
- (419) 882-9870
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP. 10962 | OH | Primary |
Addresses
Primary practice location
1133 Corporate Dr
Holland, OH 43528-7405
Mailing address
15792 Ovitt Rd
Perrysburg, OH 43551-9601
Other practice location 1
4111 N Holland Sylvania Rd
Toledo, OH 43623-2503
Phone (419) 824-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP. 10962 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1124571203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15792 OVITT RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435519601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 CORPORATE DR",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287405",
"telephone_number": "419-882-9870"
}
],
"practiceLocations": [
{
"address_1": "4111 N Holland Sylvania Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436232503",
"country_code": "US",
"telephone_number": "419-824-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOCHESKA",
"first_name": "CHRISTINE",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP. 10962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.