Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 20043098A | IN |
N | 103T00000X | Psychologist | 20043098A | IN |
Y | 103G00000X | Clinical Psychologist | 20043098A | IN |
Y | 103TC0700X | Clinical Psychologist | 20043098A | IN |
NPI | 1013341072 |
---|---|
Provider Name | Dr. Christopher David Keiper |
First Address | Lafayette, IN 47905-1232 |
Second Address | Lafayette, IN 47905-1232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 09/10/2020 |