Provider Demographics
NPI:1528553377
Name:LAHIKAINEN, KEITH (PSYD)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:LAHIKAINEN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NORTHWYND CIR APT 905
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3443
Mailing Address - Country:US
Mailing Address - Phone:508-331-9400
Mailing Address - Fax:
Practice Address - Street 1:301 NORTHWYND CIR APT 905
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3443
Practice Address - Country:US
Practice Address - Phone:508-331-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8587-PY-PR103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical