Individual
DR. JOHN GEORGE KEILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1051 RIVERSIDE DR, BOX 42 NYSPI, NEW YORK, NY 10032-1007
(646) 774-7509
(646) 774-7589
Mailing address
1051 RIVERSIDE DR, BOX 42 NYSPI, NEW YORK, NY 10032-1007
(646) 774-7509
(646) 774-7589
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
010203
NY
103TC0700X
Clinical Psychologist
Primary
010203
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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