Individual
BIANCA MICHELLE PREVIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1420 WALNUT ST, SUITE 1412, PHILADELPHIA, PA 19102-4017
(305) 724-8595
Mailing address
1420 WALNUT ST, SUITE 1412, PHILADELPHIA, PA 19102-4017
(305) 724-8595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD440784
PA
2084P0800X
Psychiatry Physician
MT193237
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT193237
PA
Other
Enumeration date
07/15/2008
Last updated
11/02/2012
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