| Bianchini-etherton | |
|
3939 Houma Blvd Suite #223 Metairie LA 70006-2931 | |
| (504) 780-1702 | |
| (504) 780-1705 |
| Full Name | Bianchini-etherton |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 3939 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Joe Etherton (PARTNER) |
| Authorized Official Contact | 5047801702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bianchini-etherton 3939 Houma Blvd Suite #223 Metairie LA 70006-2931 Ph: (504) 780-1702 | Bianchini-etherton 3939 Houma Blvd Suite #223 Metairie LA 70006-2931 Ph: (504) 780-1702 |
| NPI Number | 1023217684 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023217684 | NPI | - | NPPES |
| 859 | Other | LA | STATE LICENSE NUMBER |
| $$$$$$$$$ | Other | SOCIAL SECURITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 859 (Louisiana) | Primary |
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