Individual
LISA LABIANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4905 DEL RAY AVE STE 301, BETHESDA, MD 20814-2558
(240) 752-7650
Mailing address
23262 COBB WOODS LN, ASHBURN, VA 20148-7490
(269) 757-2002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012254
MI
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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