Individual
STEPHEN CHARLES BILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
313 PRICE PL STE 10, MADISON, WI 53705-3250
(608) 231-3300
Mailing address
313 PRICE PL STE 10, MADISON, WI 53705-3250
(608) 231-3300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2011-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
2011-57
WI
103TH0100X
Health Service Psychologist
2011-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39135700
—
WI
Enumeration date
07/15/2006
Last updated
02/18/2020
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