Klein, Mandy

Klein, Mandy is an individual health care provider with primary practice located at 3205 Kirby Whitten 203 Suite D , Bartlett TN 38134-2853. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Klein, Mandy can be contacted via phone (901) 430-5009.

Contact Information

Primary practice address
3205 Kirby Whitten 203 Suite D Bartlett TN 38134-2853
Fax: (901) 284-0527
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2001-C Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0000006270 Tennessee

Profile Details

NPI number 1306862966
LBN Legal business name Klein, Mandy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Sep 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306862966 NPPES
Arkansas Other 5Y793 BLUECROSS PROVIDER NUMBER

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