Individual
JESSICA MARIE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 E RIVER RD, ROCHESTER, NY 14623-1212
(585) 279-7800
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 279-7800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025400
NY
363AM0700X
Medical Physician Assistant
25400
NY
Other
Enumeration date
06/01/2021
Last updated
07/17/2023
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