Individual
DR. CYNTHIA A. KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. L.C.M.H.C.
Contact information
Practice address
31 RAYNES AVE, SUITE # 200, PORTSMOUTH, NH 03801-3756
(603) 433-6777
(603) 433-6778
Mailing address
31 RAYNES AVE, SUITE # 200, PORTSMOUTH, NH 03801-3756
(603) 433-6777
(603) 433-6778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
435
NH
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
79885
NH
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11626483
CAQH PROVIDER ID
NH
Enumeration date
09/29/2006
Last updated
09/04/2008
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