Provider Demographics
NPI:1437388410
Name:KEYS, DANIEL C III
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:C
Last Name:KEYS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 W STELLA LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-1513
Mailing Address - Country:US
Mailing Address - Phone:602-317-3738
Mailing Address - Fax:
Practice Address - Street 1:2026 W STELLA LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-1513
Practice Address - Country:US
Practice Address - Phone:602-317-3738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health