| Warren D Keller Phd Llc | |
|
501 Goodlette Rd Ste B206 Naples FL 34102-5473 | |
| (716) 695-2032 | |
| Not Available |
| Full Name | Warren D Keller Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 501 Goodlette Rd Ste B206, Naples, Florida |
| Authorized Official Name and Position | Deborah Newberry (BUSINESS MANAGER) |
| Authorized Official Contact | 7166952032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren D Keller Phd Llc 501 Goodlette Rd Ste B206 Naples FL 34102-5473 Ph: (716) 695-2032 | Warren D Keller Phd Llc 501 Goodlette Rd Ste B206 Naples FL 34102-5473 Ph: (716) 695-2032 |
| NPI Number | 1871175836 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Medicare PECOS PAC ID | 7113327164 |
|---|---|
| Medicare Enrollment ID | O20210611001702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871175836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Warren D Keller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821090648 PECOS PAC ID: 1759556095 Enrollment ID: I20210611002107 |
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