| Doctor Name: | THERESA KEELER |
| NPI Number: | 1164586582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW-C |
| License Number: | 14392 |
| Business Practice Address: | 2138 Priest Bridge Ct Suite 1 Crofton, MD - 211142462 |
| Business Phone Number: | 3017289983 |
| Business Fax Number: | 3013578560 |
| Mailing Address: | 2138 Priest Bridge Ct, Suite 1 CROFTON |
| State: | MD |
| Postal Code: | 211142462 |
| Phone Number: | 3017289983 |
| Fax Number: | 3013578560 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 14392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |