Individual
HEIDI KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.S.
Contact information
Practice address
152 W MAIN ST, SOUTH AMHERST, OH 44001-2924
(440) 986-7021
(440) 986-7022
Mailing address
32616 GREENWOOD DR, AVON LAKE, OH 44012-1626
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1250319
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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