Individual
MR. JOSEPH MICHAEL BIANCARDI
Active
Individual
MR. JOSEPH MICHAEL BIANCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5070
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP5070
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001665000
MEDICARE PROVIDER NUMBER
MN
Enumeration date
03/12/2007
Last updated
10/17/2014
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