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Individual

DR. KEITH MONROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
ONE FREEDOM WAY, AUGUSTA, GA 30904-6285
(706) 733-0188
Mailing address
ONE FREEDOM WAY, AUGUSTA, GA 30904-6285
(706) 733-0188

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2903
GA
103TC0700X
Clinical Psychologist
2903
GA
103TC2200X
Clinical Child & Adolescent Psychologist
2903
GA
103TE1100X
Exercise & Sports Psychologist
Primary
2903
GA
103TR0400X
Rehabilitation Psychologist
2903
GA

Other

Enumeration date
12/09/2005
Last updated
09/11/2025
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