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Individual

LUANN KEOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272
Mailing address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7515
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
763467
TUFTS HEALTH PLAN
MA
01
W05947
BCBSMA
MA
Enumeration date
11/16/2006
Last updated
07/08/2007
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