Individual
DR. HEIDI E KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 SPARTA AVE., SPARTA, NJ 07871
(973) 729-3832
(973) 729-6114
Mailing address
30 SPARTA AVE., SPARTA, NJ 07871
(973) 729-3832
(973) 729-6114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00325500
NJ
103TC1900X
Counseling Psychologist
016695-1
NY
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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