Individual
BENJAMIN M KEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130005
KY
Other
Enumeration date
03/22/2012
Last updated
05/20/2020
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