Individual
DR. CHARLES NICHOLAS BILLIKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
841 MAIN ST, SUITE 4, WALPOLE, MA 02081-2997
(508) 498-0766
Mailing address
171 BROOK STREET, FRANKLIN, MA 02038
(508) 498-0766
(508) 668-3381
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522287
—
MA
01
—
W05073
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/03/2007
Last updated
10/01/2014
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