Bianchini-strother-mccoy | |
107 Regency Sq Lafayette LA 70508-4221 | |
(337) 235-5676 | |
(504) 780-1702 |
Full Name | Bianchini-strother-mccoy |
---|---|
Speciality | Psychologist - Clinical |
Location | 107 Regency Sq, Lafayette, Louisiana |
Authorized Official Name and Position | Joslyn Mason Mccoy (MEMBER) |
Authorized Official Contact | 5047801702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bianchini-strother-mccoy 2901 N I 10 Service Rd E Ste 300 Metairie LA 70002-6137 Ph: (504) 780-1702 | Bianchini-strother-mccoy 107 Regency Sq Lafayette LA 70508-4221 Ph: (337) 235-5676 |
NPI Number | 1891032041 |
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Provider Enumeration Date | 01/08/2013 |
Last Update Date | 01/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891032041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1019 (Louisiana) | Primary |
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