Individual
DANIELA KLETKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Mailing address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI4062
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ10566
FL
Other
Enumeration date
11/18/2020
Last updated
02/28/2022
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