Individual
DR. JARED WAYNE KEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
612 N LOMBARDY ST, RICHMOND, VA 23284-9100
(804) 828-8069
Mailing address
12300 POINT LANDING CT, MIDLOTHIAN, VA 23112-6896
(662) 418-8114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
50-873
MS
Other
Enumeration date
12/09/2011
Last updated
01/23/2017
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