Individual
DR. FAUST BIANCO JR.
Active
Individual
DR. FAUST BIANCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
579
HI
103G00000X
Clinical Neuropsychologist
754
OK
103TC0700X
Clinical Psychologist
579
HI
103TC0700X
Clinical Psychologist
754
OK
103TH0100X
Health Service Psychologist
579
HI
103TH0100X
Health Service Psychologist
Primary
754
OK
Other
Enumeration date
01/29/2007
Last updated
07/15/2010
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