Individual
MRS. MEGAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
522 HARMONY DR, ROSEBURG, OR 97471-4735
(503) 804-3983
Mailing address
522 HARMONY DR, ROSEBURG, OR 97471-4735
(503) 804-3983
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
170214308
CA
103TS0200X
School Psychologist
Primary
7024
ID
103TS0200X
School Psychologist
—
KS
Other
Enumeration date
07/21/2021
Last updated
02/24/2023
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