Stephanie Ann Klein, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011178 Issued in NY

Practice address

18508 Union Tpke
#105
Fresh Meadows, NY 11366-1700

Phone

(718) 264-7250

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1366696163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD",
            "address_2": "#2A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755473",
            "telephone_number": "718-520-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18508 UNION TPKE",
            "address_2": "#105",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661700",
            "telephone_number": "718-264-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPARTMENT OF HEALTH",
            "identifier": "011178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kings County Physician Services, P.C.
• Elizabeth Sheri Kirschner, L.M.S.W.
• Ryan Kleiman
• Alma Klein, M.D.
• Andrew Jay Klein, M.D.
• Elizabeth Kliakhandler
• Michelle Marie Knowles, RN
• Katarzyna Kocon, FNP
• Rochelle Koenig, PA
• Lidor Kohen

• Speech-Language Pathologist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.