Individual
MICHELLE ANNE KEISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 W 16TH ST STE 4700, INDIANAPOLIS, IN 46202-2285
(317) 963-7514
Mailing address
6848 REUNION LN, INDIANAPOLIS, IN 46250-3921
(317) 956-4025
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042607A
IN
103G00000X
Clinical Neuropsychologist
PY8059
FL
Other
Enumeration date
04/17/2008
Last updated
12/06/2014
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