Provider Demographics
NPI:1801684352
Name:DANCLAR, KIRLANN (EDS, NCSP)
Entity type:Individual
Prefix:
First Name:KIRLANN
Middle Name:
Last Name:DANCLAR
Suffix:
Gender:
Credentials:EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 ASTON MANOR CT APT 302
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7223
Mailing Address - Country:US
Mailing Address - Phone:201-452-8106
Mailing Address - Fax:
Practice Address - Street 1:3507 ASTON MANOR CT APT 302
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7223
Practice Address - Country:US
Practice Address - Phone:201-452-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6247103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool