Keller, Cassandra

Keller, Cassandra is an individual health care provider with primary practice located at 2319 St Matthews Road , Orangeburg SC 29118. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Keller, Cassandra can be contacted via phone (803) 536-1571.

Contact Information

Primary practice address
2319 St Matthews Road Orangeburg SC 29118
Phone: (803) 536-1571
Fax: (803) 536-1463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1124293576
LBN Legal business name Keller, Cassandra
Credentials MASTERS IN SCIENCE I
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124293576 NPPES
South Carolina MEDICAID 413093

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