Basic Information
| Provider Information | |||||||||
| NPI: | 1518997899 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLEIN | ||||||||
| FirstName: | LEAH | ||||||||
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| Credential: | MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3800 WOODWARD AVE | ||||||||
| Address2: | SUITE 702 | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482012061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3132621303 | ||||||||
| FaxNumber: | 3132621238 | ||||||||
| Practice Location | |||||||||
| Address1: | 43494 WOODWARD | ||||||||
| Address2: | STE 210 | ||||||||
| City: | BLOOMFIELD TWP | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483359800 | ||||||||
| FaxNumber: | 2482539157 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.