Individual
DR. KEITH JOHN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1242 TENNYSON LN, NAPERVILLE, IL 60540-0392
(630) 637-5110
(630) 637-5554
Mailing address
1242 TENNYSON LN, NAPERVILLE, IL 60540-0392
(630) 637-5110
(630) 637-5554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
12/08/2007
Last updated
12/08/2007
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