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JENNIFER L RUSSELL PSYCHOLOGIST LLC NPI 1316577141


NPI Information

NPI: 1316577141
Provider Name: JENNIFER L RUSSELL, PSYCHOLOGIST, LLC

Doing Business As: CLINICAL & FORENSIC PSYCHOLOGY OF SHREVEPORT

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2800 YOUREE DR STE 369
SHREVEPORT, LA
ZIP 71104
Phone: (318) 685-9148
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JENNIFER L RUSSELL, PSYCHOLOGIST, LLC is a clinical psychologist in Shreveport, LA. The provider is 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. JENNIFER L RUSSELL, PSYCHOLOGIST, LLC NPI is 1316577141. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinical & Forensic Psychology Of Shreveport.

The provider's business location address is:

2800 YOUREE DR STE 369
SHREVEPORT, LA
ZIP 71104-646
Phone: (318) 685-9148
Fax: (318) 693-0103

The provider's authorized official is Josie Larkins .
The authorized official title is Office Manager and has the following contact phone number (318) 685-9148.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 3/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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