Organization
DAVID H. KEENAN, M.S.W., ED.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA T RODGERS (ADMINISTRATOR)
(757) 426-5216
Entity
Organization
Contact information
Practice address
6330 NEWTOWN RD, SUITE 410, NORFOLK, VA 23502-4802
(757) 426-5216
(757) 426-5217
Mailing address
PO BOX 11611, NORFOLK, VA 23517-0611
(757) 426-5216
(757) 426-5217
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007701969
—
VA
Enumeration date
10/12/2006
Last updated
06/17/2008
Update your record
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