Charles W Keller is a Clinical in Lubbock, Texas. Charles W Keller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles W Keller is 1417921693. The last update date is 2017-01-04.
Charles W Keller's current location address is 5502 58th St, Lubbock, Texas. You can contact this provider via phone number 8067924713 and fax number 8067921506. The mailing address for Charles W Keller is 5502 58th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles W Keller |
|---|---|
| Address | 5502 58th St, Lubbock, Texas |
| Phone Number | 8067924713 |
| Fax Number | 8067921506 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417921693 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2017-01-04 |
Provider Mailing Address Detail
| Address | 5502 58th St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794142000 |
| Phone Number | 8067924713 |
| Fax Number | 8067921506 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2-0861 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35131401 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles W Keller by the Centers for Medicare & Medicaid Services (CMS)?
The Charles W Keller has been assigned the NPI (National Provider Identifier) 1417921693. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Charles W Keller?
The Charles W Keller is situated at 5502 58Th St, in the city of Lubbock, state of TX, with the zip code 794142000.
What is Charles W Keller'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 W Keller is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Charles W Keller receive its 1417921693 assignment?
The Charles W Keller was assigned its 1417921693 on 2006-02-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Charles W Keller's details last updated?
The information pertaining to the Charles W Keller, including its address, specialty, and other details, was most recently updated on 2017-01-04.