| Doctor Name: | DR. SYLVIA L KELLER |
| NPI Number: | 1063615078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH. D., LMHC, CAP |
| License Number: | MH7290 |
| Business Practice Address: | 100 Village Square Xing Suite 104 Palm Beach Gardens, FL - 334104545 |
| Business Phone Number: | 5613393931 |
| Business Fax Number: | 5616246137 |
| Mailing Address: | 100 Village Square Xing, Suite 104 PALM BEACH GARDENS |
| State: | FL |
| Postal Code: | 334104545 |
| Phone Number: | 5613393931 |
| Fax Number: | 5616246137 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 11/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | MH7290 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |