Healthcare Provider Details

I. General information

NPI: 1023949211
Provider Name (Legal Business Name): KLEIN SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 W MAPLE RD STE C310
WEST BLOOMFIELD MI
48322-3709
US

IV. Provider business mailing address

5600 W MAPLE RD STE C310
WEST BLOOMFIELD MI
48322-3709
US

V. Phone/Fax

Practice location:
  • Phone: 248-881-9942
  • Fax:
Mailing address:
  • Phone: 248-881-9942
  • 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: MOLLY KLEIN
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 248-881-9942