Male or Other

Dr. Mark H. Keeler PH.D.

Clinical Neuropsychologist in Needham, MA(View on Map)

Full Name

Dr. Mark H. Keeler PH.D.

NPI Number

1063579183

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/02/2007

Specialties

(Taxonomies)

Code

103G00000X
103TC0700X

Primary Taxonomy

Yes
No

Licenses

State

Massachusetts

License Number

7092

Contact
Information

Purpose

Mailing
Location

Address

259 ROCK ST APT A10
687 HIGHLAND AVE

City

Norwood
Needham

State

MA
MA

Postal Code

02062-4977
02494-2232

Country

US
US

Telephone Number

(781) 769-9689
(617) 254-3800

Identifiers

Identifier

W06000
110022270A
0500054

Identifier State

MA
MA
MA

Identifier Issuer

BLUE CROSS-BLUE SHIELD
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/11/2019

Provider Address

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