Russell, Jennifer

Russell, Jennifer is an individual health care provider with primary practice located at 3341 Youree Dr Ste 20A , Shreveport LA 71105-2149. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Russell, Jennifer can be contacted via phone (318) 425-2000.

Contact Information

Primary practice address
3341 Youree Dr Ste 20A Shreveport LA 71105-2149
Phone: (318) 425-2000
Fax: (318) 424-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35083 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1399 Louisiana

Profile Details

NPI number 1114347846
LBN Legal business name Russell, Jennifer
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2014
Last updated Jan 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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