Provider Demographics
NPI:1164851184
Name:KEAT, JANE ELEANOR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ELEANOR
Last Name:KEAT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MOUNT PLEASANT ST # 1
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2613
Mailing Address - Country:US
Mailing Address - Phone:781-434-9978
Mailing Address - Fax:
Practice Address - Street 1:55 MOUNT PLEASANT ST # 1
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2613
Practice Address - Country:US
Practice Address - Phone:781-434-9978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9884103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical