Individual
COURTNEY PIERCE KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5022 DORSEY HALL DR, SUITE 201, ELLICOTT CITY, MD 21042-7829
(410) 800-7591
Mailing address
5022 DORSEY HALL DR, SUITE 201, ELLICOTT CITY, MD 21042-7829
(410) 800-7591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016723100
—
MD
Enumeration date
07/30/2007
Last updated
01/23/2015
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