Individual
PAULA MARIE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
606 WADE AVE, SUITE 100, RALEIGH, NC 27605-1390
(919) 443-2360
Mailing address
606 WADE AVE, SUITE 100, RALEIGH, NC 27605-1390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042643A
IN
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
20042643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201163160
—
IN
Enumeration date
07/14/2011
Last updated
11/04/2016
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