| NPI | 1700276490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BIANCHINI Manager Member 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: LA 1310) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-10-25 |