Individual
MS. JOAN E KELTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
1736 PIERSIDE CIR, WELLINGTON, FL 33414-8035
(954) 895-4644
Mailing address
1736 PIERSIDE CIR, WELLINGTON, FL 33414-8035
(954) 895-4644
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1044
FL
174400000X
Specialist
SS 1044
FL
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003401500
—
FL
Enumeration date
12/20/2007
Last updated
09/17/2024
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