Lee Stephen Keller Jr., LMFT, CT

Individual provider Active NPI Marriage & Family Therapist · Schwenksville, PA

NPI 1447510177 · NPPES record last updated May 29, 2012

Key facts

NPI
1447510177
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MF000187 (PA)
Practice address
4334 Wendy Way
Schwenksville, PA 19473-2093
Phone
(610) 831-1990
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MF000187PAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000187 PA Yes

Addresses

Primary practice location

4334 Wendy Way
Schwenksville, PA 19473-2093

Mailing address

4334 Wendy Way
Schwenksville, PA 19473-2093
Phone (610) 831-1990

Other providers in Schwenksville, PA

All providers in Schwenksville, PA · Marriage & Family Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.