| NPI | 1356714604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J BIANCHINI Manager Member 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1195) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |