Individual
DR. SUSAN PHILLIPS KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
355 EBERHART BLDG, UNCG CAMPUS, GREENSBORO, NC 27402-6170
(336) 334-5662
(336) 334-5754
Mailing address
PO BOX 26170, UNCG PSYCHOLOGY CLINIC, GREENSBORO, NC 27402-6170
(336) 334-5662
(336) 334-5754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1205
NC
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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