Provider Demographics
NPI:1760503882
Name:KLEEMAN, JOAN (SLP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:KLEEMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:LITVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2237 COOPER DR
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2425
Mailing Address - Country:US
Mailing Address - Phone:610-436-3600
Mailing Address - Fax:
Practice Address - Street 1:2237 COOPER DR
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2425
Practice Address - Country:US
Practice Address - Phone:610-436-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007185L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019338470003Medicaid