Samuel Webb Sentell in Shreveport - Clinical Neuropsychologist
Samuel Webb Sentell - NPI 1649370495
Samuel Webb Sentell is a Clinical Neuropsychologist in Shreveport, Louisiana. Samuel Webb Sentell practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Samuel Webb Sentell is 1649370495. The last update date is 2023-05-12.
Samuel Webb Sentell's current location address is 8504 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3188682001 and fax number 3186751517. The mailing address for Samuel Webb Sentell is 8504 Line Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Webb Sentell |
|---|---|
| Address | 8504 Line Ave, Shreveport, Louisiana |
| Phone Number | 3188682001 |
| Fax Number | 3186751517 |
| Sole Proprietor | Y |
| Credentials | PHD MP |
NPI Number Detail
| NPI Number | 1649370495 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2023-05-12 |
Provider Mailing Address Detail
| Address | 8504 Line Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711066146 |
| Phone Number | 3188682001 |
| Fax Number | 3186751517 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 722 MP |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code assigned to Samuel Webb Sentell by the Centers for Medicare & Medicaid Services?
The Samuel Webb Sentell has been issued the NPI (National Provider Identifier) 1649370495, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Samuel Webb Sentell's facilities are geographically located?
The facilities of Samuel Webb Sentell are physically situated at the following location: 8504 Line Ave, Shreveport, LA, 711066146.
What is Samuel Webb Sentell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samuel Webb Sentell is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Samuel Webb Sentell receive the assignment of its 1649370495 from the Centers for Medicare & Medicaid Services?
The Samuel Webb Sentell was issued its 1649370495 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date was the information regarding Samuel Webb Sentell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Samuel Webb Sentell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-12.
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