Provider Demographics
NPI:1326283391
Name:KEENAN-RICH, NANCY CLAIRE (MS/CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:CLAIRE
Last Name:KEENAN-RICH
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ALDEN RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-4002
Mailing Address - Country:US
Mailing Address - Phone:845-452-1727
Mailing Address - Fax:
Practice Address - Street 1:12 ALDEN RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-4002
Practice Address - Country:US
Practice Address - Phone:845-452-1727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist