Individual
DR. NICOLE KEEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS(N), PSYD, LPA
Contact information
Practice address
508 GRACE ST, WAXAHACHIE, TX 75165-3046
(972) 923-0730
(972) 923-3886
Mailing address
508 GRACE ST, WAXAHACHIE, TX 75165-3046
(972) 923-0730
(972) 923-3886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36816
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
546040
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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