MEDICARE: WENDY J KLEIN

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	1041C0700X	Clinical Social Worker	00001546	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245416726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY J KLEIN

Provider Business Mailing Address
First Line	:	4770 E ILIFF AVE STE 115
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6049
Country	:	US
Telephone Number	:	303-204-0489
Fax Number	:	303-757-7994

Provider Business Practice Location Address
First Line	:	4770 E ILIFF AVE STE 115
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6049
Country	:	US
Telephone Number	:	303-204-0489
Fax Number	:	303-757-7994

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

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	11/18/2019

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