DR. HOMER DALE KEETON PH.D. NPI 1386651222

NPI Information

NPI: 1386651222
Provider Name: DR. HOMER DALE KEETON, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
407 CHURCH ST NE STE I
VIENNA, VA
ZIP 22180
Phone: (703) 356-1330
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DR. Homer Dale Keeton, PH.D. is a professional counselor in Vienna, VA. DR. Homer Dale Keeton, PH.D. NPI is 1386651222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

407 CHURCH ST NE STE I
VIENNA, VA
ZIP 22180-737
Phone: (703) 356-1330
Fax: (703) 938-1373

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0701000638	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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