Individual
DR. ELLEN MARIE KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2100 MANCHESTER RD STE 1070, WHEATON, IL 60187-4579
(630) 784-4600
(630) 784-4600
Mailing address
2100 MANCHESTER RD STE 1070, WHEATON, IL 60187-4579
(630) 784-4600
(630) 784-4600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071006981
IL
Other
Enumeration date
11/01/2006
Last updated
06/18/2019
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