DR. Nicole Keenan, PSY.D.

NPI #1780010397 in Miller Place, New York

Provider Information

NPI Number: 1780010397
Entity Type: Individual
Name: DR. Nicole Keenan, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Sep 16, 2013
Last Updated: Sep 16, 2013

Practice Location

Address: 3 HURON CT
City: Miller Place
State: New York
ZIP Code: 11764-2506
Phone: (631) 747-0973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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