| Grant A. Killian, Ph.d., P.a. | |
|
950 Peninsula Corporate Cir Ste 1004 Boca Raton FL 33487-1378 | |
| (954) 360-4200 | |
| (954) 782-9000 |
| Full Name | Grant A. Killian, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 950 Peninsula Corporate Cir, Boca Raton, Florida |
| Authorized Official Name and Position | Grant Aram Killian (PRESIDENT/OWNER) |
| Authorized Official Contact | 9547869000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant A. Killian, Ph.d., P.a. 2871 Ne 30th St Lighthouse Point FL 33064-8524 Ph: (954) 786-9000 | Grant A. Killian, Ph.d., P.a. 950 Peninsula Corporate Cir Ste 1004 Boca Raton FL 33487-1378 Ph: (954) 360-4200 |
| NPI Number | 1972560472 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 03/17/2011 |
| Medicare PECOS PAC ID | 1153599220 |
|---|---|
| Medicare Enrollment ID | O20110714000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972560472 | NPI | - | NPPES |
| Provider Name | Grant A Killian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154443380 PECOS PAC ID: 9133397201 Enrollment ID: I20110714000776 |
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