Melinda Jane Keenan in Mather - Psychologist
Melinda Jane Keenan - NPI 1619946449
Melinda Jane Keenan is a Psychologist in Mather, California. Melinda Jane Keenan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Melinda Jane Keenan is 1619946449. The last update date is 2007-07-08.
Melinda Jane Keenan's current location address is 10633 Grissom Ave, Mather, California. You can contact this provider via phone number 9163665434 and fax number 9163665441. The mailing address for Melinda Jane Keenan is 10633 Grissom Ave, Mather, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melinda Jane Keenan |
|---|---|
| Address | 10633 Grissom Ave, Mather, California |
| Phone Number | 9163665434 |
| Fax Number | 9163665441 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619946449 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10633 Grissom Ave |
|---|---|
| City | Mather |
| State | California (CA) |
| Post Code | 95655 |
| Phone Number | 9163665434 |
| Fax Number | 9163665441 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY18780 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Melinda Jane Keenan by the Centers for Medicare & Medicaid Services?
The Melinda Jane Keenan has been issued the NPI (National Provider Identifier) 1619946449 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Melinda Jane Keenan is physically located?
The Melinda Jane Keenan is physically situated at the following address: 10633 Grissom Ave, Mather, CA, 95655.
What is Melinda Jane Keenan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Melinda Jane Keenan is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Melinda Jane Keenan receive its 1619946449 assignment from the Centers for Medicare & Medicaid Services?
The Melinda Jane Keenan was assigned its 1619946449 by the Centers for Medicare & Medicaid Services on 2006-03-15.
When was the information regarding Melinda Jane Keenan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melinda Jane Keenan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.