Keith John Avery is a Clinical in Naperville, Illinois. Keith John Avery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith John Avery is 1598948960. The last update date is 2007-12-08.
Keith John Avery's current location address is 1242 Tennyson Ln, Naperville, Illinois. You can contact this provider via phone number 6306375110 and fax number 6306375554. The mailing address for Keith John Avery is 1242 Tennyson Ln, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith John Avery |
|---|---|
| Address | 1242 Tennyson Ln, Naperville, Illinois |
| Phone Number | 6306375110 |
| Fax Number | 6306375554 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1598948960 |
|---|---|
| Provider Enumeration Date | 2007-12-08 |
| Last Updated Date | 2007-12-08 |
Provider Mailing Address Detail
| Address | 1242 Tennyson Ln |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605400392 |
| Phone Number | 6306375110 |
| Fax Number | 6306375554 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Keith John Avery by the Centers for Medicare & Medicaid Services?
The Keith John Avery has been issued the NPI (National Provider Identifier) 1598948960 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keith John Avery?
The Keith John Avery is situated at 1242 Tennyson Ln, in the city of Naperville, state of IL, with the zip code 605400392.
What is Keith John Avery's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith John Avery's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1598948960 assigned to Keith John Avery?
The Keith John Avery was issued its 1598948960 on 2007-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Keith John Avery, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Keith John Avery, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-08.