Dr Melissa Lynn Keane, PHD | |
7373 West Ln, Stockton, CA 95210-3377 | |
(209) 476-5129 | |
Not Available |
Full Name | Dr Melissa Lynn Keane |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 7373 West Ln, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073091765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 29955 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Melissa Lynn Keane, PHD 2138 Seahawk Ln, Lodi, CA 95240-7807 Ph: (209) 712-9521 | Dr Melissa Lynn Keane, PHD 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-5129 |
Nicole Takla, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-4398 | |
Dr. Kangho Ang, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-8546 | |
Susan Demotte, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1164 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-403-4403 | |
Dr. Robert Phil Park, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1305 Tommydon St, Stockton, CA 95210 Phone: 209-476-5211 | |
Dr. Jodie N Perez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 925-381-7887 | |
Dr. Steven Cartwright, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 S. Austin Road, Department Of State Hospitals-stockton, Stockton, CA 95215 Phone: 916-654-2351 |