Provider Demographics
NPI:1265761688
Name:KLEIN, KATHRYN ANN (LCPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W. OGDEN AVE.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3184
Mailing Address - Country:US
Mailing Address - Phone:630-629-6552
Mailing Address - Fax:630-629-6558
Practice Address - Street 1:1 SOUTH 376 SUMMIT AVENUE
Practice Address - Street 2:COURT D, UNIT 5B
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3985
Practice Address - Country:US
Practice Address - Phone:630-629-6557
Practice Address - Fax:630-629-6558
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional