Individual
BONNIE R KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
86 MCCULLOCH DR, DIX HILLS, NY 11746-7906
(631) 462-0112
Mailing address
86 MCCULLOCH DR, DIX HILLS, NY 11746-7906
(631) 462-0112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012040
NY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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