Provider Demographics
NPI:1316511355
Name:KLOSTERMAN, LAUREN EMILIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:EMILIE
Last Name:KLOSTERMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SARAH WELLS TRAIL
Mailing Address - Street 2:BUILDING 2, SUITE 1
Mailing Address - City:CAMPBELL HALL
Mailing Address - State:NY
Mailing Address - Zip Code:10916
Mailing Address - Country:US
Mailing Address - Phone:845-497-4000
Mailing Address - Fax:
Practice Address - Street 1:22 SARAH WELLS TRAIL
Practice Address - Street 2:BUILDING 2, SUITE 1
Practice Address - City:CAMPBELL HALL
Practice Address - State:NY
Practice Address - Zip Code:10916
Practice Address - Country:US
Practice Address - Phone:845-497-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist