Provider Demographics
NPI:1275087405
Name:MCKEEVER, KELLEY (PSY D)
Entity type:Individual
Prefix:
First Name:KELLEY
Middle Name:
Last Name:MCKEEVER
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1050 HOLBROOK RD
Mailing Address - Street 2:APT P
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4514
Mailing Address - Country:US
Mailing Address - Phone:708-799-8384
Mailing Address - Fax:708-799-1305
Practice Address - Street 1:2713 FLOSSMOOR RD
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-1100
Practice Address - Country:US
Practice Address - Phone:708-719-1970
Practice Address - Fax:708-726-5249
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL071008993103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical