Individual
DR. CHARLES WILLIAM KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1800 TEAGUE DR, SUITE 508, SHERMAN, TX 75090-2640
(903) 813-4787
Mailing address
PO BOX 4102, COMMERCE, TX 75429-4102
(903) 886-4156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15295
TX
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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