Healthcare Provider Details

I. General information

NPI: 1770373748
Provider Name (Legal Business Name): KELLY EYLER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 E MCMURRAY RD
MC MURRAY PA
15317-2963
US

IV. Provider business mailing address

242 E MCMURRAY RD
MC MURRAY PA
15317-2963
US

V. Phone/Fax

Practice location:
  • Phone: 412-276-2307
  • Fax: 727-489-1839
Mailing address:
  • Phone: 412-276-2307
  • Fax: 727-489-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS020471
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: