Organization
BIANCHINI-BOAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORWIN BOAKE PH.D. (MEMBER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
3939 HOUMA BLVD, STE 223, METAIRIE, LA 70006-2931
(504) 780-1702
(504) 780-1705
Mailing address
3939 HOUMA BLVD, STE 223, METAIRIE, LA 70006-2931
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
661
LA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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