Provider Demographics
NPI:1659503068
Name:KEELER, MARIA A (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:KEELER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512
Mailing Address - Country:US
Mailing Address - Phone:267-373-8012
Mailing Address - Fax:
Practice Address - Street 1:137 MONTGOMERY AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512
Practice Address - Country:US
Practice Address - Phone:610-523-9007
Practice Address - Fax:215-257-6570
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health