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Individual

DR. PETER WILLIAM KEELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6300 SASHABAW RD, SUITE D, CLARKSTON, MI 48346-2269
(248) 625-7320
(248) 625-7320
Mailing address
6008 W BEACH DR, OAK ISLAND, NC 28465-7929
(248) 625-7320

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002813
MI
103TC0700X
Clinical Psychologist
6310002813
MI
103TF0200X
Forensic Psychologist
6301002813
MI

Other

Enumeration date
09/20/2006
Last updated
10/29/2007
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