| Larry Bilker, Ph.d., Llc | |
|
296 Valley Shore Dr Guilford CT 06437-2147 | |
| (203) 453-4446 | |
| Not Available |
| Full Name | Larry Bilker, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 296 Valley Shore Dr, Guilford, Connecticut |
| Authorized Official Name and Position | Larry Bilker (MEMBER) |
| Authorized Official Contact | 2024534446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Bilker, Ph.d., Llc 296 Valley Shore Dr Guilford CT 06437-2147 Ph: (203) 453-4446 | Larry Bilker, Ph.d., Llc 296 Valley Shore Dr Guilford CT 06437-2147 Ph: (203) 453-4446 |
| NPI Number | 1053615534 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 12/27/2010 |
| Medicare PECOS PAC ID | 3375786726 |
|---|---|
| Medicare Enrollment ID | O20130904000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053615534 | NPI | - | NPPES |
| 004051918 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Larry M Bilker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013943695 PECOS PAC ID: 9436152709 Enrollment ID: I20060814000177 |
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