Provider Demographics
NPI:1518274521
Name:KEFFER, DOUGLAS F C (PH D)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:F C
Last Name:KEFFER
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5440 PETERS CREEK RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-3862
Mailing Address - Country:US
Mailing Address - Phone:540-562-5068
Mailing Address - Fax:540-562-5069
Practice Address - Street 1:5440 PETERS CREEK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-3862
Practice Address - Country:US
Practice Address - Phone:540-562-5068
Practice Address - Fax:540-562-5069
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral