| Bianchini-skaff, Llc | |
|
3939 Houma Blvd Suite #223 Metairie LA 70006-2931 | |
| (504) 780-1702 | |
| (504) 780-1705 |
| Full Name | Bianchini-skaff, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3939 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Erin Skaff (PARTNER) |
| Authorized Official Contact | 5047801702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bianchini-skaff, Llc 3939 Houma Blvd Suite #223 Metairie LA 70006-2931 Ph: (504) 780-1702 | Bianchini-skaff, Llc 3939 Houma Blvd Suite #223 Metairie LA 70006-2931 Ph: (504) 780-1702 |
| NPI Number | 1467651075 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 06/07/2011 |
| Medicare PECOS PAC ID | 5294752598 |
|---|---|
| Medicare Enrollment ID | O20051026000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467651075 | NPI | - | NPPES |
| 961 | Other | LA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 961 (Louisiana) | Primary |
| Provider Name | Erin Skaff Vandenweghe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083749014 PECOS PAC ID: 9032162623 Enrollment ID: I20050223000557 |
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