Individual
DR. SANDRA E. KLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
63 CHESTNUT RD STE 1, PAOLI, PA 19301-1535
(610) 667-9774
Mailing address
2221 ELLSWORTH ST, PHILADELPHIA, PA 19146-2811
(215) 280-7449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS004348L
PA
103TC0700X
Clinical Psychologist
Primary
PS004348L
PA
Other
Enumeration date
10/15/2007
Last updated
10/04/2024
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