| The Practice Of Amanda Keller, Lcsw, Pllc | |
|
5 Southside Dr Ste 11-131 Clifton Park NY 12065-3870 | |
| (518) 906-9116 | |
| Not Available |
| Full Name | The Practice Of Amanda Keller, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5 Southside Dr Ste 11-131, Clifton Park, New York |
| Authorized Official Name and Position | Amanda Keller (SOLE MEMBER/CLINICIAN) |
| Authorized Official Contact | 5189069116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Practice Of Amanda Keller, Lcsw, Pllc 5 Southside Dr Ste 11-131 Clifton Park NY 12065-3870 Ph: (518) 906-9116 | The Practice Of Amanda Keller, Lcsw, Pllc 5 Southside Dr Ste 11-131 Clifton Park NY 12065-3870 Ph: (518) 906-9116 |
| NPI Number | 1053065169 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053065169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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