Healthcare Provider Details

I. General information

NPI: 1689307977
Provider Name (Legal Business Name): KEYSHA KREN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 SW 46TH TER
CAPE CORAL FL
33914-6028
US

IV. Provider business mailing address

2801 SW 46TH TER
CAPE CORAL FL
33914-6028
US

V. Phone/Fax

Practice location:
  • Phone: 239-497-4898
  • Fax:
Mailing address:
  • Phone: 239-497-4898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY11523
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: