NANCY ANN KILLACKEY (NPI# 1760515712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760515712 |
Entity Type | Individual |
Full Name | NANCY ANN KILLACKEY |
Credential | PSYD |
Practice Address |
4383 Hecktown Road Bethlehem PA 18020 |
Mailing Address |
495 Christine Ann Lane Nazareth PA 18064 |
Practice Telephone | 6107595880 |
Mailing Telephone | 6107595880 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS008995L | PA | Behavioral Health & Social Service Providers |
Street Address |
4383 HECKTOWN ROAD |
City | BETHLEHEM |
State | PA |
Zip Code | 18020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
Find all providers in zip 18020 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114402682 | Anna Violet Sheedy | Psychologist | 1 W Broad St Ste 810, Bethlehem, PA 18018-5877 | 2018-09-30 |
1235612482 | Eleanor Benner | Psychologist | 1 Bethlehem Plz Ste 8101, Bethlehem, PA 18018-5754 | 2018-09-13 |
1366959488 | Stephen J Sell | Psychologist | 35 E Elizabeth Ave Ste 26, Bethlehem, PA 18018-6505 | 2018-01-10 |
1063950517 | Brooke Hoffman | Psychologist | 4439 Harriet Ln, Bethlehem, PA 18017-8418 | 2017-02-04 |
1366844946 | Julie Amato | Psychologist | 3400 Bath Pike Ste 302, Bethlehem, PA 18017-2485 | 2014-09-25 |
1275785453 | Tanya Rene Waters | Psychologist | 807 W Broad St, Bethlehem, PA 18018-5223 | 2008-10-19 |
1043322829 | David Walter Durka | Psychologist | Dr D Durka 3201 Highfield Dr Suite H Bethlehem Pa 18020, Bethlehem, PA 18020-1113 | 2006-08-31 |
1154341246 | David R. Youngelman | Psychologist | 3864 Adler Place, Suite 500, Bethlehem, PA 18017 | 2006-07-20 |
1801849583 | Joel B. Ingersoll | Psychologist | 227 W Broad St, Suite 205, Bethlehem, PA 18018-5570 | 2006-05-17 |
1427058437 | Abraham G. Haklay | Psychologist | 140 E Broad St, 1st Floor, Bethlehem, PA 18018-6220 | 2005-08-01 |
Find all providers in BETHLEHEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.