Individual
ANDREA R KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1701 W. CURTIS ROAD, PSYCHOLOGY, CHAMPAIGN, IL 61822
(217) 365-6206
(217) 326-1234
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071005099
IL
103TC0700X
Clinical Psychologist
Primary
071005099
IL
Other
Enumeration date
07/13/2006
Last updated
09/14/2015
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