Individual
MRS. LISA MARIE KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-4215
(775) 265-7152
Mailing address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-4215
(775) 265-7152
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0432
NV
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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