Individual
DR. THOMAS G KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 641-4956
Mailing address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 641-4956
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000749
—
NC
Enumeration date
12/21/2006
Last updated
07/08/2007
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