Individual
NANCY J. KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
33 NORTH AVE, TALLMADGE, OH 44278-1925
(330) 633-7083
(330) 665-8229
Mailing address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 665-8225
(330) 665-8229
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0996123 PIN0434
—
OH
01
—
33537
NATIONAL REGISTER OF HEALTHCARE PROVIDERS IN PSYCHOLOGY
OH
Enumeration date
10/27/2006
Last updated
11/23/2011
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