Keller, Stephen

Keller, Stephen is an individual health care provider with primary practice located at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum NY 13602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Keller, Stephen can be contacted via phone (315) 772-0215.

Contact Information

Primary practice address
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602
Phone: (315) 772-0215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018263 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3206 Connecticut

Profile Details

NPI number 1689916439
LBN Legal business name Keller, Stephen
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Dec 21st, 2021 - about 3 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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