Individual provider · Type 1 NPI

Ryan Keough

Marriage & Family Therapist · Philadelphia, PA

NPI number 1104561646 Active

Practice location

7901 Bustleton Ave Ste 300
Philadelphia, PA 19152-3330

Call (215) 537-5367 Map

Mailing address

1145 S 18th St
Philadelphia, PA 19146-3051

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MF001009 (PA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104561646

Ryan Keough's National Provider Identifier is 1104561646, issued on Apr 29, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 29, 2022.