Provider Demographics
NPI:1134202955
Name:ALIKAKOS, CHRISTOPHER (MED)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:ALIKAKOS
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 ZALESKI RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1737
Mailing Address - Country:US
Mailing Address - Phone:610-384-9605
Mailing Address - Fax:610-384-1336
Practice Address - Street 1:133 ZALESKI RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1737
Practice Address - Country:US
Practice Address - Phone:610-384-9605
Practice Address - Fax:610-384-1336
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003519-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist