Provider Demographics
NPI:1972883767
Name:BILANCIA, SARAH DEEN (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:DEEN
Last Name:BILANCIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 RIVER RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1452
Mailing Address - Country:US
Mailing Address - Phone:908-522-6610
Mailing Address - Fax:
Practice Address - Street 1:45 RIVER RD
Practice Address - Street 2:SUITE 6
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-1452
Practice Address - Country:US
Practice Address - Phone:908-522-6610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4839103TC2200X
NY018488-1103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent