| NPI | 1568852812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J BIANCHINI Manager 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: LA 685) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |