Individual
MAUREEN KEAVENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4826
AZ
103TA0700X
Adult Development & Aging Psychologist
4826
AZ
103TC0700X
Clinical Psychologist
4826
AZ
103TH0004X
Health Psychologist
4826
AZ
Other
Enumeration date
03/06/2017
Last updated
02/15/2018
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