Individual
DR. MICHAEL J KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D., LEP
Contact information
Practice address
550 BLUMONT ST, LAGUNA BEACH, CA 92651-2356
(949) 497-7700
Mailing address
550 BLUMONT ST, LAGUNA BEACH, CA 92651-2356
(949) 497-7700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3011
CA
Other
Enumeration date
06/13/2025
Last updated
12/02/2025
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