Provider Demographics
NPI:1841221165
Name:KEYES, JAMES A (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:KEYES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:KEYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12032 PALATINE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8112
Mailing Address - Country:US
Mailing Address - Phone:206-898-7053
Mailing Address - Fax:425-357-0924
Practice Address - Street 1:2611 NE 125TH ST STE 225
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4357
Practice Address - Country:US
Practice Address - Phone:206-569-3361
Practice Address - Fax:425-357-0924
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2009103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist