Provider Demographics
NPI:1366605636
Name:BIANCO, SADIE LYNN (ED D)
Entity type:Individual
Prefix:DR
First Name:SADIE
Middle Name:LYNN
Last Name:BIANCO
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 PENNSYLVANIA AVE SE
Mailing Address - Street 2:SOUTH EAST
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6719
Mailing Address - Country:US
Mailing Address - Phone:202-581-6328
Mailing Address - Fax:
Practice Address - Street 1:2526 PENNSYLVANIA AVE SE
Practice Address - Street 2:SOUTH EAST
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6719
Practice Address - Country:US
Practice Address - Phone:202-581-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13857101YM0800X
MDLC2101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health