Individual
CARL SCOTT KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
4142 GORE RD, CONNEAUT, OH 44030-2918
(440) 813-0958
Mailing address
4200 STATE RD, ASHTABULA, OH 44004-6017
(440) 576-9023
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
21137164
OH
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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