Individual
DR. NANCY E KILLIAN
Active
Individual
DR. NANCY E KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
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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