Organization
BIANCHINI SPENCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRESA ROEBUCK SPENCER PHD (MEMBER)
(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
1246
LA
Other
Enumeration date
08/09/2013
Last updated
05/19/2014
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