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NPI Code Detail

MEDICARE: DR. BETHANNE KEEN PH.D.

MEDICARE: DR. BETHANNE KEEN 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
1103TC1900XCounseling Psychologist3344AZ
2103TC0700XClinical Psychologist3344AZ

General Provider Information

NPI Number : 1265426399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETHANNE KEEN PH.D.
Provider Business Mailing Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5452
Country : US
Telephone Number : 480-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5452
Country : US
Telephone Number : 480-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2005
Last Update Date : 01/11/2021

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Directions to “ DR. BETHANNE KEEN PH.D.” Practice Location

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