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AUTUMN L. KEEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
635 MAPLE AVE, DU BOIS, PA 15801-2376
(814) 375-6379
(814) 375-9320
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6379
(814) 375-9320

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-015711
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001728015
HIGHMARK BC/BS
PA
05
1012469480001
PA
Enumeration date
06/21/2006
Last updated
06/12/2012
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