Jeanne Street, Phd, Appc

LBN: Jeanne Street, Phd, Appc
Jeanne Street, Phd, Appc is an health care organization with primary practice located at 610 Herndon Ave. , Shreveport LA 71101. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jeanne Street, Phd, Appc can be contacted via phone (318) 424-3867, or through Street, Jeanne via phone (318) 424-3867.

Contact Information

Primary practice address
610 Herndon Ave. Shreveport LA 71101
Phone: (318) 424-3867
Fax: (318) 424-5006
Website:
Map and Directions
Authorized official contact:
Name: Street, Jeanne PH.D.
Phone: (318) 424-3867

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 342 Louisiana

Profile Details

NPI number 1518267889
LBN Legal business name Jeanne Street, Phd, Appc
DBA Doing business as
Authorized official Street, Jeanne PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2010
Last updated Nov 2nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518267889 NPPES
Louisiana MEDICAID 1105961

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