Individual
MS. BRITAN BONJOUR BIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
75 HAMPSTEAD VLG, HAMPSTEAD, NC 28443-8250
(910) 270-3811
(910) 270-3897
Mailing address
75 HAMPSTEAD VLG, HAMPSTEAD, NC 28443-8250
(910) 270-3811
(910) 270-3897
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046E3
BCBS
NC
05
—
6107244
—
NC
Enumeration date
09/23/2005
Last updated
07/09/2007
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