Individual
DR. BRIAN A. KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTORATE IN PSYCHOL
Contact information
Practice address
1216 ELLA ST, ANDERSON, SC 29621-4839
(864) 261-9221
Mailing address
PO BOX 623, ANDERSON, SC 29622-0623
(864) 261-9221
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
602
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO199
—
SC
Enumeration date
12/31/2006
Last updated
07/09/2007
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