National Provider Identifier

Keegan Walden, PH.D.

Keegan Walden, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in East Aurora, NY and a listed phone number of (716) 667-2105.

NPI 1922474139East Aurora, NYClinical Psychologist

Profile Overview

NPI
1922474139
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
August 12, 2015
Last Updated
August 12, 2015

Practice Location

  • 552 Linden Avenue
  • East Aurora Psychological Services
  • East Aurora, NY 14052-2915

Phone: (716) 667-2105

Mailing Address

  • 24 Ardmore Pl
  • Buffalo, NY 14213-1446

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1922474139
Entity Type
Individual
Last Name
Walden
First Name
Keegan
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
24 Ardmore Pl
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1446
Mailing Country
US
Mailing Phone
(415) 948-7933
Practice Street Address
552 Linden Avenue
Practice Address Line 2
East Aurora Psychological Services
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-2915
Practice Country
US
Practice Phone
(716) 667-2105
Enumeration Date
August 12, 2015
Last Updated
August 12, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)