Lisa Anne Keenan is a Clinical in Buffalo, New York. Lisa Anne Keenan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Anne Keenan is 1295807337. The last update date is 2012-06-04.
Lisa Anne Keenan's current location address is 462 Grider St, Buffalo, New York. You can contact this provider via phone number 7168983216 and fax number 7168983259. The mailing address for Lisa Anne Keenan is 462 Grider St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Anne Keenan |
|---|---|
| Address | 462 Grider St, Buffalo, New York |
| Phone Number | 7168983216 |
| Fax Number | 7168983259 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1295807337 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2012-06-04 |
Provider Mailing Address Detail
| Address | 462 Grider St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142153021 |
| Phone Number | 7168983216 |
| Fax Number | 7168983259 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 016005-1 |
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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 identifier code issued to Lisa Anne Keenan by the Centers for Medicare & Medicaid Services?
The Lisa Anne Keenan has been assigned the NPI (National Provider Identifier) 1295807337 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lisa Anne Keenan is physically located?
The Lisa Anne Keenan is situated at the following address: 462 Grider St, Buffalo, NY 142153021.
What is the Lisa Anne Keenan's area of specialization and corresponding taxonomy classification?
The Lisa Anne Keenan's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa Anne Keenan receive its 1295807337 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Anne Keenan was assigned its 1295807337 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details pertaining to Lisa Anne Keenan last refreshed?
The information related to the Lisa Anne Keenan, including its address, specialty, and other relevant details, was last updated on 2012-06-04.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH