Individual
KEITH WALTER EBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1385 26TH CT SW, VERO BEACH, FL 32962-6041
(772) 205-9691
Mailing address
1385 26TH CT SW, VERO BEACH, FL 32962-6041
(772) 205-9691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 5825
FL
Other
Enumeration date
11/01/2006
Last updated
08/25/2024
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