Individual
DR. BIANCA ANTONIA MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10 TESUQUE ST, KEWA, NM 87052-9998
(505) 221-4061
(505) 465-0433
Mailing address
10 DUENDE ROAD, SANTA FE, NM 87508
(505) 221-4061
(505) 465-0433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
745
NM
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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