Provider Demographics
NPI:1992917355
Name:KLEIN, ROBERT S (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:KLEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N HERCULES AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2031
Mailing Address - Country:US
Mailing Address - Phone:727-441-4579
Mailing Address - Fax:727-447-5061
Practice Address - Street 1:901 N HERCULES AVE
Practice Address - Street 2:SUITE G
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2031
Practice Address - Country:US
Practice Address - Phone:727-441-4579
Practice Address - Fax:727-447-5061
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2348103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist