Basic Information
| Provider Information | |||||||||
| NPI: | 1669415352 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLAVANS | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | Z. | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 HOLLOW LN | ||||||||
| Address2: | |||||||||
| City: | DOWNINGTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193353273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105189177 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1400 BLACK HORSE HILL ROAD | ||||||||
| Address2: | 117A VAMC | ||||||||
| City: | COATESVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103847711 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AT000646L | PA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.