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NPI Code Detail

MEDICARE: LOIS KELLER MS, LPC

MEDICARE: LOIS KELLER MS, LPC
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
1101YP2500XProfessional CounselorPC006173PA

General Provider Information

NPI Number : 1306255450
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIS KELLER MS, LPC
Provider Business Mailing Address
First Line : 108 PALACE CT
Second Line :
City : CHALFONT
State : PA
Zip : 18914-2213
Country : US
Telephone Number : 717-473-7576
Fax Number :
Provider Business Practice Location Address
First Line : 4919 PENTRIDGE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-3320
Country : US
Telephone Number : 717-473-7576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2014
Last Update Date : 08/02/2014

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