| Keystone Psychology Llc | |
|
2131 S Webster Ave Suite 105 Green Bay WI 54301-2288 | |
| (920) 366-7792 | |
| (920) 227-4117 |
| Full Name | Keystone Psychology Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2131 S Webster Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | Kevin Wayne Miller (PSYCHOLOGIST) |
| Authorized Official Contact | 9203667792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Psychology Llc 2131 S Webster Ave Suite 105 Green Bay WI 54301-2288 Ph: (920) 366-7792 | Keystone Psychology Llc 2131 S Webster Ave Suite 105 Green Bay WI 54301-2288 Ph: (920) 366-7792 |
| NPI Number | 1649452608 |
|---|---|
| Provider Enumeration Date | 12/02/2007 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649452608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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