NPI 1710627922

Dominik Lia Keller, PHD

Practitioner School Psychologist Southaven, MS

Practice location

Address: 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455
Phone: (662) 349-2979

Registered specialties (2)

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 621149 (MS)

Other Psychologist providers in Mississippi →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1710627922
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2022
Record last updated: 15 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.