Luciana M Killam
Individual provider Active NPI Developmental Therapist · Groton, MA
NPI 1699524488 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1699524488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 81A Kemp St
Groton, MA 01450-1125 - Phone
- (978) 328-3105
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist |
222Q00000X | Yes |
Addresses
Primary practice location
81A Kemp St
Groton, MA 01450-1125
Mailing address
81A Kemp St
Groton, MA 01450-1125
Phone (978) 328-3105
Other providers in Groton, MA
- Susan Jensen
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- John P. Katzenberg
- Meredith Lee Julian
- Monicah Kagungo
- Mary Frances Killian
- Kindred Smiles Pediatric Dentistry LLC
- Marisa Dawn King
- Steven Mark Kleeman
- Klipp Scollard Clinical Associates
All providers in Groton, MA · Developmental Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.