| Melissa A Keogh Limited Liability Company | |
|
31 S Ridgedale Ave East Hanover NJ 07936-1804 | |
| (973) 632-5135 | |
| Not Available |
| Full Name | Melissa A Keogh Limited Liability Company |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 31 S Ridgedale Ave, East Hanover, New Jersey |
| Authorized Official Name and Position | Melissa A Keogh (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 9736325135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A Keogh Limited Liability Company 31 S Ridgedale Ave East Hanover NJ 07936-1804 Ph: (973) 632-5135 | Melissa A Keogh Limited Liability Company 31 S Ridgedale Ave East Hanover NJ 07936-1804 Ph: (973) 632-5135 |
| NPI Number | 1245054261 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245054261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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