Individual
JESSICA BIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 418-5209
Mailing address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 418-5209
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
552367
MO
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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