Organization
BIANCHINI - FREY/SUNCOAST NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J BIANCHINI PH.D. (OWNER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
6555 PERKINS RD, SUITE 500, BATON ROUGE, LA 70808-4237
(225) 368-2297
(225) 248-6932
Mailing address
2901 N I 10 SERVICE RD E, SUITE 300, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
MPAP.000028
LA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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