Individual
KEENAN ALEXANDER WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PHIPPS, ROOM 446, 600 NORTH WOLFE STREET, BALTIMORE, MD 21287
(626) 840-6216
Mailing address
600 NORTH WOLFE ST., PHIPPS, ROOM 446, BALTIMORE, MD 21287
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
05/18/2017
Last updated
03/17/2018
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