Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathleen Suzanne Tillman, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1225579840

Dr. Kathleen Suzanne Tillman, PHD is a Clinical Child & Adolescent Psychologist in Grand Forks, North Dakota. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2100 S Columbia Rd Ste 202 Family Institute PC
Grand Forks, ND 58201
Phone: (701) 282-9510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1225579840
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 15, 2017

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