Individual
DR. JENNY M BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3241
Mailing address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1876
KS
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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