Individual
KATE INDUNI BICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
4600 RIVER RD, MARRERO, LA 70072-1943
(504) 349-7600
Mailing address
154 PLEASANT VALLEY DR, DES ALLEMANDS, LA 70030-3315
(504) 258-6271
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
08/15/2022
Last updated
08/15/2022
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