Provider Demographics
NPI:1346492436
Name:KEEN, VALERIE P (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:P
Last Name:KEEN
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 1:20 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12118-3220
Mailing Address - Country:US
Mailing Address - Phone:518-796-8111
Mailing Address - Fax:518-541-2091
Practice Address - Street 1:20 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-3220
Practice Address - Country:US
Practice Address - Phone:518-796-8111
Practice Address - Fax:518-541-2091
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006990235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist