Provider Demographics
NPI:1245006618
Name:BEEHLER, KALILA JOHANNA (PHD)
Entity type:Individual
Prefix:DR
First Name:KALILA
Middle Name:JOHANNA
Last Name:BEEHLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2471 PITTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-2834
Mailing Address - Country:US
Mailing Address - Phone:330-536-3746
Mailing Address - Fax:330-267-4250
Practice Address - Street 1:THE KEYSTONE BUILDING
Practice Address - Street 2:3567 RESERVE COMMON DR
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256
Practice Address - Country:US
Practice Address - Phone:330-536-3746
Practice Address - Fax:330-267-4250
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS019990103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist