Individual
DR. DYLAN A KEENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1106 HARRIS AVE STE 302, BELLINGHAM, WA 98225-7002
(360) 670-0195
Mailing address
1106 HARRIS AVE STE 302, BELLINGHAM, WA 98225-7002
(360) 670-0195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60751686
WA
Other
Enumeration date
08/07/2013
Last updated
05/22/2020
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