Individual
DR. JENNIFER ERIN KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P.08417
OHIO BOARD OF PSYCHOLOGY
OH
Enumeration date
12/02/2022
Last updated
02/17/2023
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