Healthcare Provider Details

I. General information

NPI: 1710395546
Provider Name (Legal Business Name): BIANCA PRICE M.A, ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 WOODLANE RD
WESTAMPTON NJ
08060-3804
US

IV. Provider business mailing address

770 WOODLAWN ROAD
MOUNT HOLLY NJ
08060
US

V. Phone/Fax

Practice location:
  • Phone: 609-267-5928
  • Fax:
Mailing address:
  • Phone: 609-267-5928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01062100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: