MEDICARE: DR. JAMES A. KEYES PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	2009	WA

General Provider Information

NPI Number	:	1841221165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A. KEYES PH.D.

Provider Business Mailing Address
First Line	:	12032 PALATINE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-8112
Country	:	US
Telephone Number	:	206-898-7053
Fax Number	:	425-357-0924

Provider Business Practice Location Address
First Line	:	2611 NE 125TH ST STE 225
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4357
Country	:	US
Telephone Number	:	206-569-3361
Fax Number	:	425-357-0924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	09/17/2024

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