| Doctor Name: | THOMAS PHILLIP KEATING |
| NPI Number: | 1063548949 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC, LCSW |
| License Number: | 205721 |
| Business Practice Address: | 21 Culley St Fitchburg, MA - 014203509 |
| Business Phone Number: | 5088495600 |
| Business Fax Number: | |
| Mailing Address: | 40 Pikes Hill Rd, STERLING |
| State: | MA |
| Postal Code: | 015642432 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 205721 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |