Individual
MR. KEITH WAYNE MCDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
330 E LIVE OAK AVE, ARCADIA, CA 91006-5617
(626) 821-5858
(626) 821-0858
Mailing address
330 E LIVE OAK AVE, ARCADIA, CA 91006-5617
(626) 821-5858
(626) 821-0858
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT 20124
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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