Healthcare Provider Details

I. General information

NPI: 1801684352
Provider Name (Legal Business Name): KIRLANN DANCLAR ED.S, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 ASTON MANOR CT APT 302
SILVER SPRING MD
20904-7223
US

IV. Provider business mailing address

3507 ASTON MANOR CT APT 302
SILVER SPRING MD
20904-7223
US

V. Phone/Fax

Practice location:
  • Phone: 201-452-8106
  • Fax:
Mailing address:
  • Phone: 201-452-8106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number6247
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: