| Keller Psychological Services, P.c. | |
|
4955 N Bailey Ave Ste 214 Amherst NY 14226-1206 | |
| (716) 650-0287 | |
| (716) 970-4470 |
| Full Name | Keller Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4955 N Bailey Ave Ste 214, Amherst, New York |
| Authorized Official Name and Position | Christopher Joseph Keller (OWNER/PROVIDER) |
| Authorized Official Contact | 7164503934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller Psychological Services, P.c. 4955 N Bailey Ave Ste 214 Amherst NY 14226-1206 Ph: (716) 650-0287 | Keller Psychological Services, P.c. 4955 N Bailey Ave Ste 214 Amherst NY 14226-1206 Ph: (716) 650-0287 |
| NPI Number | 1780078386 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 11/25/2018 |
| Medicare PECOS PAC ID | 1355658543 |
|---|---|
| Medicare Enrollment ID | O20150921002592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780078386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 019744 (New York) | Primary |
| Provider Name | Christopher J Keller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639421209 PECOS PAC ID: 5799092987 Enrollment ID: I20150921002783 |
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