Provider Demographics
NPI:1669484499
Name:KEENEY ENTERPRISES
Entity Type:Organization
Organization Name:KEENEY ENTERPRISES
Other - Org Name:MORE THAN WORDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR, SPEECH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:KEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:209-576-7280
Mailing Address - Street 1:3125 MCHENRY AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1451
Mailing Address - Country:US
Mailing Address - Phone:209-576-7280
Mailing Address - Fax:209-576-7275
Practice Address - Street 1:3125 MCHENRY AVE
Practice Address - Street 2:SUITE E
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1451
Practice Address - Country:US
Practice Address - Phone:209-576-7280
Practice Address - Fax:209-576-7275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty