Provider Demographics
NPI:1023135415
Name:KLOSSMAN, PATRICIA N (PHD SLP)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:N
Last Name:KLOSSMAN
Suffix:
Gender:F
Credentials:PHD SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 BETHEL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-9652
Mailing Address - Country:US
Mailing Address - Phone:610-495-5429
Mailing Address - Fax:610-495-5429
Practice Address - Street 1:1112 BETHEL CHURCH RD
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-9652
Practice Address - Country:US
Practice Address - Phone:610-495-5429
Practice Address - Fax:610-495-5429
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002573L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist