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NPI Profile for Dr FAUST BIANCO JR in TULSA, OK.
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Neuropsychologist |
103G00000X |
| NPI Number | 1912043860 |
|
| Status | Active | |
| Credentials | PhD | |
| Entity | Individual | |
| Enumeration date | 01/29/2007 | |
| Last updated | 07/15/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FAUST BIANCO JR
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FAUST BIANCO JR, PhD