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Contact Information

ANGELA L KEITH, PHD, LPC
1016 W UNIVERSITY AVE
SUITE 202
FLAGSTAFF, AZ86001
 Phone: 928-773-7774
 Fax: 928-774-1148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ANGELA L KEITH · (Female)

NPI # 1144233008
Status Active
Credentials PHD, LPC
Entity Individual
Enumeration date 08/14/2006
Last updated 02/10/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11038
  • AZ License # 4035
  • AZ License # LPC-11038
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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