Individual
DR. NANCY E KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1241 POST RD, FAIRFIELD, CT 06824-6025
(203) 319-0236
(203) 319-0236
Mailing address
PO BOX 831, FAIRFIELD, CT 06824-0831
(203) 319-0236
(203) 319-0236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
060002078
CT
103TC1900X
Counseling Psychologist
002078
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002078CT01
ANTHEM PROVIDER ID
CT
01
—
336733
VALUE OPTIONS PROVIDER #
CT
Enumeration date
03/14/2007
Last updated
09/02/2011
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