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General NPI Number Information
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NPI Number | 1376866848
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Entity Type | Individual
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Provider Name | KEITH WESTERFIELD PHD, MP
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 6351 MAIN ST
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City | ZACHARY
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State | LA
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Zip | 70791-4038
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Country | US
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Telephone | 225-306-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 30575 OLD BATON ROUGE HIGHWAY
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City | ALBANY
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State | LA
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Zip | 70711-3902
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Country | US
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Telephone | 225-306-2055
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Fax |
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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 | 013247
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 013247
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | 301066
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 013247
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License Number State | NY
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