Individual
BIANCA WENTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 WESTCHESTER AVE, BRONX, NY 10472-2910
(718) 765-6367
(347) 523-8127
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015098
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073219069
CLINICAL PSYCHOLOGY
—
Enumeration date
02/08/2023
Last updated
06/02/2025
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