James W Keenan in Golden Valley - Clinical Child & Adolescent
James W Keenan - NPI 1710147418
James W Keenan is a Clinical Child & Adolescent in Golden Valley, Minnesota. James W Keenan practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for James W Keenan is 1710147418. The last update date is 2008-09-08.
James W Keenan's current location address is 820 Lilac Dr N, Golden Valley, Minnesota. You can contact this provider via phone number 6128746746 and fax number 6128746745. The mailing address for James W Keenan is 820 Lilac Dr N, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James W Keenan |
|---|---|
| Address | 820 Lilac Dr N, Golden Valley, Minnesota |
| Phone Number | 6128746746 |
| Fax Number | 6128746745 |
| Sole Proprietor | N |
| Credentials | MS, LP |
NPI Number Detail
| NPI Number | 1710147418 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 820 Lilac Dr N |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224700 |
| Phone Number | 6128746746 |
| Fax Number | 6128746745 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP3544 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26A04KE | MN | BLUE CROSS BLUE SHIELD | |
| 118817800 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James W Keenan by the Centers for Medicare & Medicaid Services?
The James W Keenan has been assigned the NPI (National Provider Identifier) 1710147418 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of James W Keenan?
The James W Keenan is situated at 820 Lilac Dr N, in the city of Golden Valley, state of MN, with the zip code 554224700.
What is James W Keenan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James W Keenan is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did James W Keenan receive its 1710147418 assignment from the Centers for Medicare & Medicaid Services?
The James W Keenan was assigned its 1710147418 on 2008-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to James W Keenan most recently updated or refreshed?
The details pertaining to the James W Keenan, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-08.
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