Individual
DR. LUCILLE BAKER KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
213 WOODBURN RD, RALEIGH, NC 27605-1618
(919) 604-7401
Mailing address
213 WOODBURN RD, RALEIGH, NC 27605-1618
(919) 604-7401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4036
NC
Other
Enumeration date
09/25/2008
Last updated
05/28/2021
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