| Bianchini-ogden&epker/penry | |
|
7101 Us Highway 90 Ste 102 Daphne AL 36526-9512 | |
| (504) 780-1702 | |
| (504) 780-1705 |
| Full Name | Bianchini-ogden&epker/penry |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7101 Us Highway 90, Daphne, Alabama |
| Authorized Official Name and Position | Kevin J Bianchini (MANAGING MEMBER) |
| Authorized Official Contact | 5047801702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bianchini-ogden&epker/penry 2901 N I 10 Service Rd E Ste 300 Metairie LA 70002-6137 Ph: (504) 780-1702 | Bianchini-ogden&epker/penry 7101 Us Highway 90 Ste 102 Daphne AL 36526-9512 Ph: (504) 780-1702 |
| NPI Number | 1710307301 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710307301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1871 (Alabama) | Primary |
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