Organization
GRANT A. KILLIAN, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT ARAM KILLIAN PH.D. (PRESIDENT/OWNER)
(954) 786-9000
Entity
Organization
Contact information
Practice address
950 PENINSULA CORPORATE CIR, STE 1004, BOCA RATON, FL 33487-1378
(954) 360-4200
(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
04/27/2006
Last updated
03/17/2011
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