Provider Demographics
NPI:1265441802
Name:KEENAN, MARGARET M (PSY D)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:KEENAN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:MCCORMICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9123 KIRKLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8613
Mailing Address - Country:US
Mailing Address - Phone:281-220-7801
Mailing Address - Fax:281-251-1468
Practice Address - Street 1:20550 TOWNSEN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4445
Practice Address - Country:US
Practice Address - Phone:832-879-2107
Practice Address - Fax:832-442-5044
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32668103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1735664-02Medicaid
TX1459399-03Medicaid
TX1735664-02Medicaid
TX1459399-03Medicaid