Individual
DR. CHARLES A VASSILOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
147 UNION ST, VERNON, CT 06066-3025
(860) 875-1875
(860) 563-2242
Mailing address
89 FARMS VILLAGE RD, ROCKY HILL, CT 06067-3613
(860) 529-1566
(860) 563-2242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001727
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004115871
—
CT
Enumeration date
05/08/2006
Last updated
06/19/2013
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