Individual
CAITLYNN KLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 3RD AVE, JASPER, IN 47546-3652
(812) 630-2833
Mailing address
1230 W 20TH ST, JASPER, IN 47546-8197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007291A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22007291A
SPEECH LANG PATH AUDIOLOGY BOARD
IN
Enumeration date
08/12/2019
Last updated
01/30/2025
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