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Individual

DR. MITCHELL S KEIL

Active
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Individual

DR. MITCHELL S KEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY29644
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
01/11/2018
Last updated
02/20/2018
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