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General NPI Number Information
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NPI Number | 1417866179
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Entity Type | Organization
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Legal Business Name | BRYANA E. KILLION, PHD, LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 5 DIANA DR
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City | PAWTUCKET
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State | RI
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Zip | 02861-1516
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Country | US
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Telephone | 401-206-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 555 N MAIN ST # 1165
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City | PROVIDENCE
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State | RI
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Zip | 02904-5722
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Country | US
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Telephone | 401-206-5655
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BRYANA E. KILLION
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Credential | PHD
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Telephone | 401-206-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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