Radley, Keith C
Radley, Keith C is an individual health care provider with primary practice located at 210 Bellegrass Blvd , Hattiesburg MS 39402-1907. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Radley, Keith C can be contacted via phone (801) 860-6894.Contact Information
Primary practice address
210 Bellegrass Blvd
Hattiesburg MS 39402-1907
Phone: (801) 860-6894
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 55982 | Mississippi |
Profile Details
| NPI number | 1932569464 |
|---|---|
| LBN Legal business name | Radley, Keith C |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2016 |
| Last updated | Feb 25th, 2016 - 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.
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