Individual
JENNIFER KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14245 58TH RD, FLUSHING, NY 11355-5310
(718) 445-4222
Mailing address
27 ARBOUR ST, WEST ISLIP, NY 11795-1016
(631) 940-7027
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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