Individual
DR. KEITH HAPPAWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(513) 273-1140
Mailing address
5955 ZEAMER AVE # 673MDG, JBER, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
180102
AK
103TC0700X
Clinical Psychologist
7296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
MILITARY
—
Enumeration date
03/29/2019
Last updated
06/17/2024
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