Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0701006347 | VA |
N | 102L00000X | Psychologist | 0811000981 | VA |
N | 103T00000X | Psychologist | 0811000981 | VA |
NPI | 1013116375 |
---|---|
Provider Name | Sarah W Bisconer |
First Address | Williamsburg, VA 23185-3392 |
Second Address | Williamsburg, VA 23185-3392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 26/10/2015 |