Carolyn Klein, MS/CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Plover, WI
NPI 1508031063 · NPPES record last updated Apr 25, 2008
Key facts
- NPI
- 1508031063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 688-154 (WI)
- Practice address
- 4880 River Drive
Plover, WI 54467 - Phone
- (715) 345-1425
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 688-154 | WI | Yes |
Addresses
Primary practice location
4880 River Drive
Plover, WI 54467
Mailing address
4880 River Drive
Plover, WI 54467
Phone (715) 345-1425
Other providers in Plover, WI
- Colton Andrew Kaminski
- Kara B Kay
- Linda B Kedrowski
- Jane Morgan Kewaygeshik
- Bethany Kitowski
- Nathaniel David Klesmith
- Kerry M Kluck
- Derek Konkol
- Deborah L Kosobucki
- Leah Krueger
All providers in Plover, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.