Killilea, Benjamin

Killilea, Benjamin is an individual health care provider with primary practice located at 75 Fenwood Rd , Boston MA 02115-6103. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Killilea, Benjamin can be contacted via phone (617) 626-9318.

Contact Information

Primary practice address
75 Fenwood Rd Boston MA 02115-6103
Phone: (617) 626-9318
Fax: (617) 626-9531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8993 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1205140746
LBN Legal business name Killilea, Benjamin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2010
Last updated Oct 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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