Individual
GRANT ARAM KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
950 PENINSULA CORPORATE CIR, STE 1004, BOCA RATON, FL 33487-1378
(954) 786-9000
(954) 782-9000
Mailing address
2871 NE 30TH ST, LIGHTHOUSE POINT, FL 33064-8524
(954) 786-9000
(954) 782-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3298
FL
103TA0700X
Adult Development & Aging Psychologist
PY3298
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY3298
FL
103TC0700X
Clinical Psychologist
PY3298
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY3298
FL
103TF0000X
Family Psychologist
PY3298
FL
103TP2701X
Group Psychotherapy Psychologist
PY3298
FL
Other
Enumeration date
04/06/2007
Last updated
09/08/2010
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