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Individual

DR. ROBERT LEWIS KEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
048-0000757
VT
106H00000X
Marriage & Family Therapist
Primary
100-0000030
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007660
VT
Enumeration date
02/28/2006
Last updated
09/11/2025
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