Provider Demographics
NPI:1164308219
Name:KLETCHKA, CLAIRE CAROLINE
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:CAROLINE
Last Name:KLETCHKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 KENWOOD AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1862
Mailing Address - Country:US
Mailing Address - Phone:631-620-1979
Mailing Address - Fax:
Practice Address - Street 1:26 COMPUTER DR E
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1112
Practice Address - Country:US
Practice Address - Phone:518-438-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist