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General NPI Number Information
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NPI Number | 1093869950
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Entity Type | Organization
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Legal Business Name | CHARLES R BILLINGS, PH.D., A PSYCHOLOGICAL CORP. INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1036 SIR FRANCIS DRAKE BLVD
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City | KENTFIELD
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State | CA
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Zip | 94904-1427
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Country | US
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Telephone | 415-454-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 SIR FRANCIS DRAKE BLVD
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City | KENTFIELD
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State | CA
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Zip | 94904-1427
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Country | US
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Telephone | 415-454-2213
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES R. BILLINGS
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Credential | PH.D.
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Telephone | 415-454-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 4446
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MA 002461
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License Number State | CA
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