| Doctor Name: | MS. BRITAN BONJOUR BIES |
| NPI Number: | 1316933393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPA |
| License Number: | 2467 |
| Business Practice Address: | 75 Hampstead Vlg Hampstead, NC - 284438250 |
| Business Phone Number: | 9102703811 |
| Business Fax Number: | 9102703897 |
| Mailing Address: | 75 Hampstead Vlg, HAMPSTEAD |
| State: | NC |
| Postal Code: | 284438250 |
| Phone Number: | 9102703811 |
| Fax Number: | 9102703897 |
| NPI Enumeration Date: | 09/23/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 2467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |