Keith, Jennifer

Keith, Jennifer is an individual health care provider with primary practice located at 315 W Ponce De Leon Ave Suite 440, Decatur GA 30030-2400. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Keith, Jennifer can be contacted via phone (404) 585-4940.

Contact Information

Primary practice address
315 W Ponce De Leon Ave Suite 440 Decatur GA 30030-2400
Phone: (404) 585-4940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY002996 Georgia

Profile Details

NPI number 1346377611
LBN Legal business name Keith, Jennifer
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers