Doctor Name: | DR. CHARLES NICHOLAS BILLIKAS |
NPI Number: | 1023230372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 6302 |
Business Practice Address: | 841 Main St Suite 4 Walpole, MA - 020812997 |
Business Phone Number: | 5084980766 |
Business Fax Number: | |
Mailing Address: | 171 Brook Street, FRANKLIN |
State: | MA |
Postal Code: | 02038 |
Phone Number: | 5084980766 |
Fax Number: | 5086683381 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |