Bianca Jardin Phd LLC
Psychologist in Mt Pleasant, SC. Organization (NPI-2).
NPI number1033653910
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1033653910
- Entity type
- Organization (NPI-2)
- Legal business name
- Bianca Jardin Phd LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2016
- Certification date
- Jul 31, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1285 | SC | Yes |
Practice location
1050 Johnnie Dodds Blvd, #2381Mt Pleasant, SC 29465-2801
Phone 812-401-0941 · Fax 843-480-9579
Mailing address
1050 Johnnie Dodds Blvd, # 2381Mt Pleasant, SC 29465-2381
Phone 812-401-0941 · Fax 843-480-9579
Authorized official
Bianca Jardin
Authorized Official
8124010941
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