Healthcare Provider Details

I. General information

NPI: 1083526180
Provider Name (Legal Business Name): KLAUDIA FREISLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E SAINT JOSEPH ST
WATERVLIET MI
49098-9300
US

IV. Provider business mailing address

36 W SOUTH ST
HARTFORD MI
49057-1237
US

V. Phone/Fax

Practice location:
  • Phone: 269-463-0300
  • Fax:
Mailing address:
  • Phone: 269-767-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009533
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: