Organization
BIANCHINI-FREY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED FREY IV PH.D. (PARTNER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809-2975
(225) 368-2297
(225) 368-2274
Mailing address
3939 HOUMA BLVD, SUITE #223, METAIRIE, LA 70006-2931
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
966
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
966
STATE LICENSE
LA
Enumeration date
07/13/2007
Last updated
09/03/2009
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