| Sheila L. Kleinman, Ph.d., P.c. | |
|
822 W State St O Fallon IL 62269-1808 | |
| (618) 624-1210 | |
| (618) 632-3136 |
| Full Name | Sheila L. Kleinman, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 822 W State St, O Fallon, Illinois |
| Authorized Official Name and Position | Sheila L Kleinman (OWNER) |
| Authorized Official Contact | 6186241210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila L. Kleinman, Ph.d., P.c. 822 W State St O Fallon IL 62269-1808 Ph: (618) 624-1210 | Sheila L. Kleinman, Ph.d., P.c. 822 W State St O Fallon IL 62269-1808 Ph: (618) 624-1210 |
| NPI Number | 1518092493 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 12/29/2010 |
| Medicare PECOS PAC ID | 9537056718 |
|---|---|
| Medicare Enrollment ID | O20040302000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518092493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071004097 (Illinois) | Primary |
| Provider Name | Sheila L Kleinman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063438372 PECOS PAC ID: 6406743681 Enrollment ID: I20040303000439 |
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