MEDICARE: FRANCES EILEEN KLIMEK M.A.CCC-SLP

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	235Z00000X	Speech-Language Pathologist	009347-1	NY

General Provider Information

NPI Number	:	1922454230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES EILEEN KLIMEK M.A.CCC-SLP

Provider Business Mailing Address
First Line	:	44 DERRICK DR
Second Line	:
City	:	WEST HENRIETTA
State	:	NY
Zip	:	14586-8913
Country	:	US
Telephone Number	:	585-444-9076
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 DERRICK DR
Second Line	:
City	:	WEST HENRIETTA
State	:	NY
Zip	:	14586-8913
Country	:	US
Telephone Number	:	585-444-9076
Fax Number	:

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

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	02/15/2017

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