MEDICARE: AHUVA KLEIN SLP-CCC-TSSLD

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	034729	NY
2	235Z00000X	Speech-Language Pathologist	41YS01325700	NJ

General Provider Information

NPI Number	:	1962238204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHUVA KLEIN SLP-CCC-TSSLD

Provider Business Mailing Address
First Line	:	6 RAVEN LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4968
Country	:	US
Telephone Number	:	718-916-8752
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 RAVEN LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4968
Country	:	US
Telephone Number	:	718-916-8752
Fax Number	:

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

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	01/27/2026

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Directions to “ AHUVA KLEIN SLP-CCC-TSSLD” Practice Location

Language	Start Address	Practice Location

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