Jeanne Street is a Clinical in Shreveport, Louisiana. Jeanne Street practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne Street is 1033273107. The last update date is 2007-07-08.
Jeanne Street's current location address is 610 Herndon Ave, Shreveport, Louisiana. You can contact this provider via phone number 3184243867 and fax number 3184245006. The mailing address for Jeanne Street is 610 Herndon Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne Street |
|---|---|
| Address | 610 Herndon Ave, Shreveport, Louisiana |
| Phone Number | 3184243867 |
| Fax Number | 3184245006 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1033273107 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 610 Herndon Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71101 |
| Phone Number | 3184243867 |
| Fax Number | 3184245006 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 342 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20777 | LA | BCBS | |
| 1105961 | LA | -- |
Post Comment/ Review Below
What is the Jeanne Street's 1033273107?
The Jeanne Street's NPI (National Provider Identifier) Number is 1033273107. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeanne Street located?
The Jeanne Street is located at 610 Herndon Ave, Shreveport, LA 71101.
What is the area of specialization for Jeanne Street, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeanne Street is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Jeanne Street's 1033273107 issued?
The Jeanne Street's 1033273107 was issued on 2006-12-21.
As of what date were the details related to Jeanne Street most recently updated or revised?
The information pertaining to Jeanne Street, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607495
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