Provider Demographics
NPI:1831315977
Name:O'KEEFE, JAMES P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:802 CARTER DR
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-2922
Mailing Address - Country:US
Mailing Address - Phone:434-634-0018
Mailing Address - Fax:434-848-0585
Practice Address - Street 1:1607 PLANTERS RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868-3350
Practice Address - Country:US
Practice Address - Phone:434-848-9349
Practice Address - Fax:434-848-0585
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002796103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical