Individual
DR. GERALD L KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1015 CHESTNUT ST, SUITE 312, PHILADELPHIA, PA 19107-4316
(215) 627-9088
(215) 741-4662
Mailing address
1015 CHESTNUT ST, SUITE 312, PHILADELPHIA, PA 19107-4316
(215) 627-9088
(215) 741-4662
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PS008574L
PA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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