Provider Demographics
NPI:1053619486
Name:KEATING, CARYL ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CARYL
Middle Name:ANN
Last Name:KEATING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SE 6TH AVE # 200K
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5306
Mailing Address - Country:US
Mailing Address - Phone:561-859-6767
Mailing Address - Fax:561-637-8210
Practice Address - Street 1:604 NE VENEZIA LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-5213
Practice Address - Country:US
Practice Address - Phone:561-859-6767
Practice Address - Fax:561-637-8210
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical