Individual
DR. KEITH DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
48 MELANIE LN, SYOSSET, NY 11791-5118
(516) 496-2524
Mailing address
48 MELANIE LN, SYOSSET, NY 11791-5118
(516) 496-2524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5930
NY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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