Organization
BIANCHINI NORTHSHORE
Active
Organization
BIANCHINI NORTHSHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BIANCHINI PHD (MANAGER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
2901 N I 10 SERVICE RD E, STE 300, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Mailing address
2901 N I 10 SERVICE RD E, STE 300, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
685
LA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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