Organization
LARRY BILKER, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY BILKER (MEMBER)
(202) 453-4446
Entity
Organization
Contact information
Practice address
296 VALLEY SHORE DR, GUILFORD, CT 06437-2147
(203) 453-4446
Mailing address
296 VALLEY SHORE DR, GUILFORD, CT 06437-2147
(203) 453-4446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004051918
—
CT
Enumeration date
12/27/2010
Last updated
12/27/2010
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