Brian David Keller in State College - Psychologist
Brian David Keller - NPI 1790754323
Brian David Keller is a Psychologist in State College, Pennsylvania. Brian David Keller practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brian David Keller is 1790754323. The last update date is 2022-06-27.
Brian David Keller's current location address is 200 Scenery Dr, State College, Pennsylvania. You can contact this provider via phone number 8142314560 and fax number 8142316246. The mailing address for Brian David Keller is 200 Scenery Dr, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian David Keller |
|---|---|
| Address | 200 Scenery Dr, State College, Pennsylvania |
| Phone Number | 8142314560 |
| Fax Number | 8142316246 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790754323 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2022-06-27 |
Provider Mailing Address Detail
| Address | 200 Scenery Dr |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168017974 |
| Phone Number | 8142314560 |
| Fax Number | 8142316246 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 017604-1 |
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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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What is the unique identifier code issued to Brian David Keller by the Centers for Medicare & Medicaid Services?
The Brian David Keller has been assigned the NPI (National Provider Identifier) 1790754323. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian David Keller's facilities are situated?
The facilities of Brian David Keller are physically located at the following address: 200 Scenery Dr, State College, PA, 168017974.
What is Brian David Keller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian David Keller's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790754323 to Brian David Keller?
The Centers for Medicare & Medicaid Services assigned the 1790754323 to Brian David Keller on 2006-03-16.
As of what date was the information regarding Brian David Keller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian David Keller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-06-27.