| Dr. Sentell & Ass. | |
|
8504 Line Ave Shreveport LA 71106-6146 | |
| (318) 868-2001 | |
| (318) 675-1517 |
| Full Name | Dr. Sentell & Ass. |
|---|---|
| Speciality | Psychologist |
| Location | 8504 Line Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Laura Sentell (ADMINISTRATIVE) |
| Authorized Official Contact | 3188682001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sentell & Ass. 8504 Line Ave Shreveport LA 71106-6146 Ph: (318) 868-2001 | Dr. Sentell & Ass. 8504 Line Ave Shreveport LA 71106-6146 Ph: (318) 868-2001 |
| NPI Number | 1326738220 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 9830548569 |
|---|---|
| Medicare Enrollment ID | O20231206004231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326738220 | NPI | - | NPPES |
| Provider Name | Samuel Webb Sentell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649370495 PECOS PAC ID: 0749639474 Enrollment ID: I20231206004243 |
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