Organization
EDWARD BARRY KEEHN PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD BARRY KEEHN PSYD (OWNER)
(310) 985-9004
Entity
Organization
Contact information
Practice address
221 S EUCLID AVE, PASADENA, CA 91101-2717
(626) 578-9565
(626) 578-9517
Mailing address
1447 S CANFIELD AVE, LOS ANGELES, CA 90035-3224
(310) 985-9004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22069
LICENSE NUMBER
CA
Enumeration date
09/21/2009
Last updated
01/12/2010
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