Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER THOMAS KEENAN, PSY.D.
ActiveDR. PETER THOMAS KEENAN, PSY.D. is a Clinical Neuropsychologist healthcare provider located in MINOCQUA, Wisconsin. NPI 1699136085 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · MINOCQUA, WI
Registration Details
- NPI Number
- 1699136085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2016 (10.454565681338 yrs)
- Last Updated
- Feb 16, 2024
- Licenses
-
LP5974 (MN)3356 (WI)
Practice Information
- Address
-
9576 HWY 70MINOCQUA, WI, 545489067Browse WI providers · Browse ZIP 54548
- Phone
- 7153569048
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.