Healthcare Provider Details

I. General information

NPI: 1659666220
Provider Name (Legal Business Name): ROBERTA KLEIN LDN, D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2011
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 MEMORIAL HWY
SHAVERTOWN PA
18708-1491
US

IV. Provider business mailing address

1535 MEMORIAL HWY
SHAVERTOWN PA
18708-1491
US

V. Phone/Fax

Practice location:
  • Phone: 570-575-1710
  • Fax:
Mailing address:
  • Phone: 570-675-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC002910L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberDN001671
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN001671
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: