| Doctor Name: | MRS. MARY ELIZABETH KEAN |
| NPI Number: | 1912075524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC LMFT ATR BC |
| License Number: | ATR-BC 90-107 |
| Business Practice Address: | 1721 S Tyler St Amarillo, TX - 791023141 |
| Business Phone Number: | 8063764030 |
| Business Fax Number: | 8063764424 |
| Mailing Address: | Po Box 3066, AMARILLO |
| State: | TX |
| Postal Code: | 791163066 |
| Phone Number: | 8063764030 |
| Fax Number: | 8063764424 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | ATR-BC 90-107 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| 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 |