Individual
DR. DENNIS JOHN MCKILLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6834 EAST GENESEE STREET, FAYETTEVILLE, NY 13066
(315) 446-3292
(315) 703-2880
Mailing address
119 BROOKSIDE LANE, FAYETTEVILLE, NY 13066-1509
(315) 637-5985
(315) 703-2880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8844
NY
Other
Enumeration date
10/03/2006
Last updated
11/26/2013
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