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Individual

DR. STANLEY KEYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
470 PROSPECT AVE, SUITE 302, WEST ORANGE, NJ 07052-4153
(973) 783-2956
(973) 783-2956
Mailing address
22 DURYEA RD, UPPER MONTCLAIR, NJ 07043-1902
(973) 783-2956
(973) 783-2956

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SIO 2857
NJ

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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