Doctor Name: | MR. CARY M BAHLINGER |
NPI Number: | 1104846310 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 1878B |
Business Practice Address: | 1112 E Ascension Complex Avenue Gonzales, LA - 707373726 |
Business Phone Number: | 2256215770 |
Business Fax Number: | 2256215168 |
Mailing Address: | Po Box 1725, GONZALES |
State: | LA |
Postal Code: | 707071725 |
Phone Number: | 2256215770 |
Fax Number: | 2256215168 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1878B |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |