MRS. ELLEN MARGO KLEIN-SOUTH


Address: 3881 Ne Sugarhill Ave, Jensen Beach, FL 34957-3731
Phone: 7723344035

MRS. ELLEN MARGO KLEIN-SOUTH (NPI# 1679872394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679872394
Entity Type Individual
Full Name MRS. ELLEN MARGO KLEIN-SOUTH
Credential M.S.
Practice Address 3881 Ne Sugarhill Ave
Jensen Beach
FL 34957-3731
Practice Telephone 7723344035
Practice Fax Number 7723344036
Mailing Telephone 7723344035
Mailing Fax Number 7723344036
Enumeration Date 2011-03-21
Last Update Date 2011-03-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
SS0000535 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS/ BLUE SHIELD INSURANCE Z127B 01

Office Location

Street Address 3881 NE SUGARHILL AVE
City JENSEN BEACH
State FL
Zip Code 34957-3731

Providers in the same zip code

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1760902282 Spaahmed LLC Internal Medicine 1820 Nejensen Beach Blvd, Ste 561, Jensen Beach, FL 34957 2017-06-26
1346627270 Wellness Counseling & Residential Detoxification Services Substance Abuse Rehabilitation Facility 3650-3670 Ne Indian River Drive, Jensen Beach, FL 34957 2015-04-29
1891085981 Geri Deanne Motes Massage Therapist 736 Ne Jensen Beach Blvd, Jensen Beach, FL 34957 2011-04-11
1477866358 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 1764 Ne Jensen Beach Blvd., Jensen Beach, FL 34957 2010-07-20
1902123771 Jennifer Leigh Legg Pharmacist 1114 Ne Jensen Beach Blvd., Jensen Beach, FL 34957 2010-05-03
1144450305 Sharon D Schweiger Occupational Therapist 3992 Nw Cinnamon Tree Cir, Jensen Beach, FL 34957 2009-07-22
1821227778 Jensen Physical Therapy Inc. Preventive Medicine 702 Jensen Beach Blvd., Jensen Beach, FL 34957 2009-07-13
1386879260 Clifford Francis Christiansen Social Worker 9550 South Ocean Drive, Suite #1506, Jensen Beach, FL 34957 2009-05-21
1033351317 Danilo Augusto Duenas Psychiatry & Neurology 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 2009-04-01
1730324575 Diana Bernabei-macchia Early Intervention Provider Agency 85 Ne Elderberry Ter, Jensen Beach, FL 34957 2008-12-09
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City JENSEN BEACH
Zip Code 34957

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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