Doctor Name: | ALYSSA KILLION |
NPI Number: | 1255655874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00381100 |
Business Practice Address: | 830 Bear Tavern Rd Medop Behavioral Health Associates Of New Jersey Pc Ewing, NJ - 08628 |
Business Phone Number: | 8003703651 |
Business Fax Number: | |
Mailing Address: | 16 Gamewood Rd, LEVITTOWN |
State: | PA |
Postal Code: | 190573408 |
Phone Number: | 2158700134 |
Fax Number: | 2158700134 |
NPI Enumeration Date: | 03/25/2010 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NJ00381100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |