Provider Demographics
NPI:1548414139
Name:KILLAR, EMILY KRANZLEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KRANZLEY
Last Name:KILLAR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-4135
Mailing Address - Country:US
Mailing Address - Phone:610-831-8807
Mailing Address - Fax:
Practice Address - Street 1:280 N PROVIDENCE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3527
Practice Address - Country:US
Practice Address - Phone:610-566-0501
Practice Address - Fax:610-566-0502
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015126103G00000X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool