Healthcare Provider Details

I. General information

NPI: 1376719161
Provider Name (Legal Business Name): LOREEN ANN KLEINBERG M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LOREEN ANN JONES M.S.

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13801 E BENSON HWY
VAIL AZ
85641-9074
US

IV. Provider business mailing address

8292 S VIA DEL BARQUERO
TUCSON AZ
85747-9125
US

V. Phone/Fax

Practice location:
  • Phone: 520-879-2000
  • Fax: 520-879-2001
Mailing address:
  • Phone: 520-975-6057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: