Doctor Name: | DR. KEITH E. MAUST |
NPI Number: | 1871629980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O.M., A.P., D.AC. |
License Number: | AK000251L |
Business Practice Address: | 3229 Flagler Ave Suite 102 Key West, FL - 330404663 |
Business Phone Number: | 3052930650 |
Business Fax Number: | 3052930138 |
Mailing Address: | 406 Airport Dr S, SUMMERLAND KEY |
State: | FL |
Postal Code: | 330424421 |
Phone Number: | 3052930650 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2007 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | AK000251L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |