Individual
DR. KEITH MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10293 N MERIDIAN ST, SUITE 375, INDIANAPOLIS, IN 46290-1123
(317) 581-2288
(317) 581-2295
Mailing address
10293 N MERIDIAN ST, SUITE 375, INDIANAPOLIS, IN 46290-1123
(317) 581-2288
(317) 581-2295
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041351
IN
Other
Enumeration date
08/02/2006
Last updated
03/20/2008
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