Individual
EILEEN KELLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M ED, LP
Contact information
Practice address
680 PROFESSIONAL DR, NORTHFIELD, MN 55057-2755
(507) 663-0237
(507) 663-1180
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4135
MN
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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