Doctor Name: | THOMAS F KEEFE |
NPI Number: | 1003850959 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0987 |
Business Practice Address: | 1200 Hilyard St Suite 420 Eugene, OR - 974018122 |
Business Phone Number: | 5417440828 |
Business Fax Number: | 5416876214 |
Mailing Address: | Po Box 24410, EUGENE |
State: | OR |
Postal Code: | 974020451 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |