Provider Demographics
NPI:1053937102
Name:KLEIN, TAWNI (CF-MS-SLP)
Entity type:Individual
Prefix:MISS
First Name:TAWNI
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CF-MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 W LAKE LANSING RD STE 190
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6371
Mailing Address - Country:US
Mailing Address - Phone:517-333-8533
Mailing Address - Fax:517-333-8539
Practice Address - Street 1:701 SNOW RD SUITE A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917
Practice Address - Country:US
Practice Address - Phone:517-323-0593
Practice Address - Fax:517-323-0002
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7151001747235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist