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DR. RONALD J. KILLIANY PH.D.

Clinical Neuropsychologist

Marblehead, Massachusetts

Provider NPI: 1699755645

Provider Information:
DR. RONALD J. KILLIANY PH.D.
Gender: M


Practice Location:
8 PICKETT ST  MARBLEHEAD, MA 01945 US
Tel: 617-638-8082  Fax: 617-638-4922

Business Mailing Address:
8 PICKETT ST  MARBLEHEAD, MA 01945 US
Tel: 617-638-8082  Fax: 617-638-4922

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA6861

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELDW06041MA01
MASSHEALTH0596159MA01
HAVARD PILGRIM009934MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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