Doctor Name: | FRANCIS ANTHONY BIONDO |
NPI Number: | 1356376651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 6801065208 |
Business Practice Address: | 24715 Little Mack Suite 200 St Clair Shores, MI - 48080 |
Business Phone Number: | 5867779000 |
Business Fax Number: | 5867770823 |
Mailing Address: | 24715 Little Mack, Suite 200 ST CLAIR SHORES |
State: | MI |
Postal Code: | 48080 |
Phone Number: | 5867779000 |
Fax Number: | 5867770823 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6801065208 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |