Individual
WILLIAM MICHAEL KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D,
Contact information
Practice address
17 SPRING ST, WATERTOWN, MA 02472-3411
(617) 926-6664
(617) 522-0905
Mailing address
17 SPRING ST, WATERTOWN, MA 02472-3411
(617) 926-6664
(617) 522-0905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1976
MA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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