Individual
DR. KEITH DAVID EICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1850 W REPUBLIC RD, SPRINGFIELD, MO 65807-5730
(844) 501-8387
Mailing address
1850 W REPUBLIC RD, SPRINGFIELD, MO 65807-5730
(844) 501-8387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001226
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50507
NATIONAL REGISTER NUMBER
—
Enumeration date
01/18/2006
Last updated
09/03/2019
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