Organization
TIFFANY L KELLER PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY L KELLER PSY.D. (PSYCHOLOGIST)
(773) 931-6430
Entity
Organization
Contact information
Practice address
30 N. MICHIGAN, 1124, CHICAGO, IL 60602
(773) 931-6430
Mailing address
2310 N. MONTICELLO AVE, CHICAGO, IL 60647
(773) 931-6430
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071007170
IL
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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