Organization
ELLEN KEYT, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN LOUISE KEYT PHD, LP (CLINICAL PSYCHOLOGIST)
(313) 492-0166
Entity
Organization
Contact information
Practice address
26789 WOODWARD AVE STE 110, HUNTINGTON WOODS, MI 48070-1334
(313) 492-0166
Mailing address
13932 ARNOLD, REDFORD, MI 48239-2817
(313) 492-0166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014137
MI
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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