Charles William Keenan in Commerce - Clinical
Charles William Keenan - NPI 1124243423
Charles William Keenan is a Clinical in Commerce, Texas. Charles William Keenan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles William Keenan is 1124243423. The last update date is 2007-07-08.
Charles William Keenan's current location address is Po Box 4102, Commerce, Texas. You can contact this provider via phone number 9038864156. The mailing address for Charles William Keenan is Po Box 4102, Commerce, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles William Keenan |
|---|---|
| Address | Po Box 4102, Commerce, Texas |
| Phone Number | 9038864156 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124243423 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 4102 |
|---|---|
| City | Commerce |
| State | Texas (TX) |
| Post Code | 754294102 |
| Phone Number | 9038864156 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 15295 |
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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 provider identifier assigned to Charles William Keenan?
The Charles William Keenan has been issued the NPI (National Provider Identifier) 1124243423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Charles William Keenan?
The Charles William Keenan is physically situated at Po Box 4102, in the city of Commerce, state of TX, with the postal code 754294102.
What is Charles William Keenan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles William Keenan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Charles William Keenan receive its 1124243423?
The Charles William Keenan was issued its 1124243423 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Charles William Keenan most recently updated or refreshed?
The details pertaining to the Charles William Keenan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.