Individual
DR. BIANCAMARIA PENATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3141 JOHN HUMPHRIES WYND, RALEIGH, NC 27612-5438
(919) 783-5431
(919) 783-6480
Mailing address
3141 JOHN HUMPHRIES WYND, RALEIGH, NC 27612-5438
(919) 783-5431
(919) 783-6480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000107
—
NC
Enumeration date
07/19/2006
Last updated
07/08/2007
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