Individual
DR. MICHAEL E. KEESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
J.D., PH.D.
Contact information
Practice address
77 ROCHELLE AVE, PHILADELPHIA, PA 19128-3809
(215) 704-9832
Mailing address
77 ROCHELLE AVE, PHILADELPHIA, PA 19128-3809
(215) 704-9832
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS018050
PA
Other
Enumeration date
07/09/2016
Last updated
11/05/2019
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