Individual
KEEYA PRAIRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
520 E 4TH ST, HOOD RIVER, OR 97031-2327
(541) 386-6380
Mailing address
3539 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3769
OR
Other
Enumeration date
07/29/2022
Last updated
04/20/2024
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