Thomas Allen Keller in La Mesa - Psychologist

Thomas Allen Keller - NPI 1912914375

Thomas Allen Keller is a Psychologist in La Mesa, California. Thomas Allen Keller practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Thomas Allen Keller is 1912914375. The last update date is 2007-07-08.

Thomas Allen Keller's current location address is 7863 La Mesa Blvd, La Mesa, California. You can contact this provider via phone number 6196989525 and fax number 6196989546. The mailing address for Thomas Allen Keller is 7863 La Mesa Blvd, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Allen Keller
Address 7863 La Mesa Blvd, La Mesa, California
Phone Number 6196989525
Fax Number 6196989546
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1912914375
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7863 La Mesa Blvd
City La Mesa
State California (CA)
Post Code 919413657
Phone Number 6196989525
Fax Number 6196989546

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY 12961
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY129610 CA --

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FAQs about Thomas Allen Keller

What is the Thomas Allen Keller's 1912914375?

The Thomas Allen Keller's NPI (National Provider Identifier) Number is 1912914375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Thomas Allen Keller is geographically located?

The Thomas Allen Keller is physically situated at the following location: 7863 La Mesa Blvd, La Mesa, CA, 919413657.

What is Thomas Allen Keller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thomas Allen Keller is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did the Thomas Allen Keller receive its 1912914375 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Allen Keller was assigned its 1912914375 by the Centers for Medicare & Medicaid Services on 2006-08-01.

As of what date were the details pertaining to Thomas Allen Keller last refreshed?

The information related to the Thomas Allen Keller, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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