Organization
BIANCHINI-ETHERTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ETHERTON PH.D. (PARTNER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
3939 HOUMA BLVD, SUITE #223, METAIRIE, LA 70006-2931
(504) 780-1702
(504) 780-1705
Mailing address
3939 HOUMA BLVD, SUITE #223, METAIRIE, LA 70006-2931
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
01
—
859
STATE LICENSE NUMBER
LA
Enumeration date
07/13/2007
Last updated
05/21/2020
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