Provider Demographics
NPI:1144437955
Name:KLINE, HARRIET DENNIS (PHD)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:DENNIS
Last Name:KLINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 E LANCASTER AVE
Mailing Address - Street 2:ROSEMONT PLAZA, STE 14
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1552
Mailing Address - Country:US
Mailing Address - Phone:610-525-8127
Mailing Address - Fax:610-525-8163
Practice Address - Street 1:1062 E LANCASTER AVE
Practice Address - Street 2:ROSEMONT PLAZA, STE 14
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1552
Practice Address - Country:US
Practice Address - Phone:610-525-8127
Practice Address - Fax:610-525-8163
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006417L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA174534OtherMHN ID#
PAKL757979Medicare ID - Type Unspecified