Organization
BIANCHINI-HOLCOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BIANCHINI PHD (MANAGER MEMBER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
4050 LONESOME RD STE A, MANDEVILLE, LA 70448-7085
(985) 246-2600
(985) 246-6100
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
1310
LA
Other
Enumeration date
02/02/2015
Last updated
10/25/2016
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