Individual
JENNIFER KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
8820 ANCHOR BAY CT, INDIANAPOLIS, IN 46236-8210
(317) 826-1853
(317) 826-1938
Mailing address
8820 ANCHOR BAY CT, INDIANAPOLIS, IN 46236-8210
(317) 826-1853
(317) 826-1938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005097A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047932
ANTHEM BLUE CROSS AND BLU
ME
05
—
324470099
—
ME
Enumeration date
03/13/2007
Last updated
08/30/2010
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