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Organization

FERRELL AND ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH FERRELL LP, CAC, SAP (PRESIDENT)
(570) 826-0999
Entity
Organization

Contact information

Practice address
111 N FRANKLIN ST, WILKES BARRE, PA 18701-1401
(570) 826-0999
(570) 208-0603
Mailing address
131 LAIRD ST, WILKES BARRE, PA 18705-3818
(570) 826-0999
(570) 208-0603

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003591L
PA
104100000X
Social Worker
SW005118E
PA
1041C0700X
Clinical Social Worker
CW001159L
PA

Other

Enumeration date
10/22/2006
Last updated
03/20/2010
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