Individual
ANDREW BARCLAY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
113 HOWARD ST, PETOSKEY, MI 49770-4612
(231) 348-8188
Mailing address
113 HOWARD ST, PETOSKEY, MI 49770-4612
(231) 348-8188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011199
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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