Individual
DR. MARY MONACO KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
55 POST AVE, SUITE #205, WESTBURY, NY 11590-4361
(631) 921-8561
Mailing address
4 OAK PL, SOUTHAMPTON, NY 11968-1525
(631) 283-3296
(631) 283-3296
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015524
NY
Other
Enumeration date
06/16/2006
Last updated
07/09/2010
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