NANCY ANN KILLACKEY


Address: 4383 Hecktown Road, Bethlehem, PA 18020
Phone: 6107595880

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS008995L PA Behavioral Health & Social Service Providers

Office Location

Street Address 4383 HECKTOWN ROAD
City BETHLEHEM
State PA
Zip Code 18020

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BETHLEHEM
Zip Code 18020

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Dataset Information

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.

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