Individual
DR. MICHAEL KEAVENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
530 E MAIN ST STE 530, RICHMOND, VA 23219-2431
(804) 648-0169
(804) 649-4069
Mailing address
530 E MAIN ST STE 530, RICHMOND, VA 23219-2431
(804) 648-0169
(804) 649-4069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005037
VA
Other
Enumeration date
11/07/2013
Last updated
07/21/2022
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