Healthcare Provider Details

I. General information

NPI: 1417252370
Provider Name (Legal Business Name): JOSEPH F. KLEIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 01/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 UNIVERSITY HALL DRIVE
BOONE NC
28608-2041
US

IV. Provider business mailing address

APPALACHIAN STATE UNIVERSITY ASU BOX 32165
BOONE NC
28608-2165
US

V. Phone/Fax

Practice location:
  • Phone: 828-262-2185
  • Fax: 828-262-6766
Mailing address:
  • Phone: 828-262-2620
  • Fax: 828-262-3153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9251
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: