Mary Mccartney Keil in Peoria - Clinical
Mary Mccartney Keil - NPI 1174534614
Mary Mccartney Keil is a Clinical in Peoria, Illinois. Mary Mccartney Keil practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Mccartney Keil is 1174534614. The last update date is 2007-07-08.
Mary Mccartney Keil's current location address is 411 Dr. Martin Luther King Jr. Drive, Peoria, Illinois. You can contact this provider via phone number 3094970790. The mailing address for Mary Mccartney Keil is 411 Dr. Martin Luther King Jr. Drive, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Mccartney Keil |
|---|---|
| Address | 411 Dr. Martin Luther King Jr. Drive, Peoria, Illinois |
| Phone Number | 3094970790 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1174534614 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 411 Dr. Martin Luther King Jr. Drive |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61605 |
| Phone Number | 3094970790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Mary Mccartney Keil by the Centers for Medicare & Medicaid Services?
The Mary Mccartney Keil has been assigned the NPI (National Provider Identifier) 1174534614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mary Mccartney Keil is located?
The Mary Mccartney Keil is situated at the following address: 411 Dr. Martin Luther King Jr. Drive, Peoria, IL, 61605.
What is the Mary Mccartney Keil's area of specialization and corresponding taxonomy classification?
The Mary Mccartney Keil's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Mary Mccartney Keil's 1174534614 issued?
The Mary Mccartney Keil's 1174534614 was issued on 2006-08-10.
As of what date were the Mary Mccartney Keil's details last updated?
The information pertaining to the Mary Mccartney Keil, including its address, specialty, and other details, was most recently updated on 2007-07-08.