MRS. JEANNETTE D KEENAN


Address: 231 Concord Ave Ste 1, St Johnsbury, VT 05819-1513
Phone: 8027485364

MRS. JEANNETTE D KEENAN (NPI# 1629169099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629169099
Entity Type Individual
Full Name MRS. JEANNETTE D KEENAN
Credential MA
Practice Address 231 Concord Ave Ste 1
St Johnsbury
VT 05819-1513
Practice Telephone 8027485364
Practice Fax Number 8027487289
Mailing Telephone 8027485364
Mailing Fax Number 8027487289
Enumeration Date 2006-09-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
393 VT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VT 1002184 05

Office Location

Street Address 231 CONCORD AVE STE 1
City ST JOHNSBURY
State VT
Zip Code 05819-1513

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710457353 Amber L Carrasquillo Pharmacist 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 2018-11-27
1700378734 Laura Amy Nixon Physician Assistant 41 Sherman Drive, St. Johnsbury, VT 05819 2018-06-05
1447797873 Kingdom Autism and Behavioral Health, LLC Behavioral Analyst 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 2017-01-24
1407211493 Scott Rosemark Pharmacist 957 Memorial Drive, Saint Johnsbury, VT 05819 2015-12-18
1134541295 Meghan Davis Counselor 231 Concord Ave Ste 2, St Johnsbury, VT 05819 2014-01-09
1639490279 Carol Lynn Smith Counselor 445 Portland St, St. Johnsbury, VT 05819 2010-06-17
1548435696 Philip Lightbear Counselor 108 Cherry Street Suite 1, St Johnsburg, VT 05819 2008-04-29
1740452416 Kimberly Dena Lightbear Counselor 108 Cherry Street, St Johnsbury, VT 05819 2008-04-02
1720262249 Deborah B Goldberg Psychologist 1194 Main Street, Suite 107, St Johnsbury, VT 05819 2007-12-19
1154501880 Mary Jane Egerton Social Worker 506 Tripp Lane, St Johnsburg, VT 05819 2007-11-09
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306461066 Bhuttu Mathews Psychologist 110 Main St Ste 4a, Burlington, VT 05401-8451 2020-06-09
1013575372 Roberta M. White Psychologist 72 Whetstone Rd, Brattleboro, VT 05301 2019-06-03
1891110508 Douglas Smith Psychologist 180 Foote St, Middlebury, VT 05753-2018 2014-03-04
1508281064 Jeffrey Steven Martin Psychologist 300 Palmer Ln, Charlotte, VT 05445-4410 2014-02-20
1508299322 Heather Finley Phd Pllc Psychologist 231 Maple St Ste 1, Burlington, VT 05401-4562 2013-08-15
1487935516 Andrea Lee Kelly Psychologist 444 South Union St., Suite 230, Burlington, VT 05401 2011-09-02
1508188731 Regina S Murphy Psychologist 204 Mountainview Dr, Waterbury, VT 05676-9346 2010-02-15
1548353808 Sally Louise Mattson Psychologist 72 Grove St, Brattleboro, VT 05301-6040 2006-10-01
1356434690 Camille Irene Parker Psychologist 1462 Green Mountain Tpke, Chester, VT 05143-8874 2006-10-01
1710070115 Cecily M. Monro Psychologist 287 County Rd, Windsor, VT 05089-1261 2006-09-30
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Competitor

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City ST JOHNSBURY
Zip Code 05819

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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