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NPI 1265441802

NPI 1265441802 : MARGARET M KEENAN PSY D : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1265441802
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET M KEENAN PSY D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    20550 TOWNSEN BLVD STE 101 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-4445
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    Country              |    US
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    Telephone            |    832-879-2107
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    Fax                  |    832-442-5044
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Provider Business Mailing Address
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    Address Line         |    9123 KIRKLEIGH ST 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-8613
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    Country              |    US
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    Telephone            |    281-220-7801
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    Fax                  |    281-251-1468
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    32668
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    License Number State |    TX
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