HEIDI E KELLER, PhD, Mental Health SPARTA TOWNSHIP, NJ

Contact Information

HEIDI E KELLER, PhD

30 SPARTA AVE.
SPARTA TOWNSHIP, NJ 07871

Phone: 973-729-3832
Fax: 973-729-6114
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health	101YM0800X
Counseling	103TC1900X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for HEIDI E KELLER · (Female)

NPI Number	`1801088356`
Status	Active
Credentials	PhD
Entity	Individual
Enumeration date	08/17/2007
Last updated	08/17/2007 - About 19 years ago
Sole proprietor ¹	Yes
Identifiers	NJ License # 37PC00325500 NY License # 016695-1
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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