| Julie A Keen, Llc | |
|
391 Boston Post Rd Orange CT 06477-3578 | |
| (860) 251-9508 | |
| Not Available |
| Full Name | Julie A Keen, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 391 Boston Post Rd, Orange, Connecticut |
| Authorized Official Name and Position | Julie Keen (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8602807605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie A Keen, Llc 7 Danforth Ln Rocky Hill CT 06067-3206 Ph: (860) 251-9508 | Julie A Keen, Llc 391 Boston Post Rd Orange CT 06477-3578 Ph: (860) 251-9508 |
| NPI Number | 1376067009 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 02/26/2021 |
| Certification Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376067009 | NPI | - | NPPES |
| 1659505444 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 003217 (Connecticut) | Primary |
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