Individual
MR. LARRY MICHAEL BILKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
296 VALLEY SHORES DRIVE, GUILFORD, CT 06437-2147
(203) 453-4446
Mailing address
296 VALLEY SHORES DRIVE, GUILFORD, CT 06437-2147
(203) 453-0263
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000903
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600000903CT01
ANTHEM
CT
01
—
P405018
OXFORD
CT
Enumeration date
06/24/2006
Last updated
07/08/2007
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