DESIREE KELLER (NPI# 1639781941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639781941 |
| Entity Type | Individual |
| Full Name | DESIREE KELLER |
| Practice Address |
133 Coulter Ave Ardmore PA 19003-2416 |
| Mailing Address |
2406 Lexington Mews Woolwich Township NJ 08085-1351 |
| Practice Telephone | 2152758710 |
| Mailing Telephone | 8563711099 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
133 COULTER AVE |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023231875 | Robert Harry Zeitlin | Psychologist | 133 Coulter Ave, Suite 1, Ardmore, PA 19003-2416 | 2007-04-10 |
| 1265808554 | Jacqueline Duci | Psychologist | 133 Coulter Ave, Ardmore, PA 19003-2416 | 2015-08-20 |
| 1871710301 | Elizabeth R. Richman | Psychologist | 133 Coulter Ave, Suite 1, Ardmore, PA 19003 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006157 | Emily Salkever-scott | Counselor | 28 S Wyoming Ave, Ardmore, PA 19003-1227 | 2020-09-03 |
| 1831664077 | Heart Mind & Soul Counseling Agency | Counselor | 301 W Main St Ste 302, Ardmore, OK 73401-6322 | 2018-10-03 |
| 1730661398 | Kay Lynn Cagle | Counselor | 301 W Main St Ste 307, Ardmore, OK 73401-6322 | 2018-08-30 |
| 1770001224 | Rll Counseling, LLC | Counselor | 333 W Main St Ste 242, Ardmore, OK 73401-6320 | 2017-09-05 |
| 1467805556 | Mary Adele Snider | Counselor | 603 C St Nw, Ardmore, OK 73401-5831 | 2016-07-13 |
| 1811353410 | Virginia L. Wrenn | Counselor | 404 Carter St Se, Ardmore, OK 73401-8552 | 2016-01-12 |
| 1063813863 | Wrightway Counseling Services, LLC | Counselor | 720 N Commerce St Ste 634, Ardmore, OK 73401-3915 | 2014-09-11 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| 1124430434 | Kelli Kaiser | Counselor | 320 11th Ave Nw, Ardmore, OK 73401-5826 | 2014-05-21 |
| 1962835173 | Stacy M Parker | Counselor | 1523 Chickasaw Blvd, Ardmore, OK 73401-1826 | 2013-08-12 |
| Find all providers in ARDMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.