Provider Demographics
NPI:1205972882
Name:KEEFE, JOHN ALOYSIUS (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALOYSIUS
Last Name:KEEFE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:82 COLUMBIA ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6357
Mailing Address - Country:US
Mailing Address - Phone:207-299-8060
Mailing Address - Fax:207-990-3065
Practice Address - Street 1:82 COLUMBIA ST
Practice Address - Street 2:SUITE 301
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6357
Practice Address - Country:US
Practice Address - Phone:207-299-8060
Practice Address - Fax:207-990-3065
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME510103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical