Doctor Name: | DR. KEITH ANTHONY LOUWERSE |
NPI Number: | 1174750459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 302 Railway Ave Seward, AK - 996641045 |
Business Phone Number: | 9072245257 |
Business Fax Number: | |
Mailing Address: | Po Box 484, SEWARD |
State: | AK |
Postal Code: | 996640484 |
Phone Number: | 5034095707 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2009 |
NPI Last Update Date: | 07/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |