MEDICARE: ANNE WATERMAN KLINGER MS,LPC,NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	000410	PA

General Provider Information

NPI Number	:	1235335159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE WATERMAN KLINGER MS,LPC,NCC

Provider Business Mailing Address
First Line	:	22 E CHESTNUT HILL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2715
Country	:	US
Telephone Number	:	215-247-4067
Fax Number	:	215-753-8725

Provider Business Practice Location Address
First Line	:	22 E CHESTNUT HILL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2715
Country	:	US
Telephone Number	:	215-247-4067
Fax Number	:	215-753-8725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	07/08/2007

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