Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1307619 | OH |
NPI | 1013328202 |
---|---|
Provider Name | Brandy Killian |
First Address | Hamilton, OH 45011-3455 |
Second Address | Hamilton, OH 45011-3455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2014 |
Last Update Date | 11/05/2014 |