| Neuropsychology Services Of Louisiana, Llc | |
|
1754 Texas St Natchitoches LA 71457-3429 | |
| (866) 944-8604 | |
| (888) 330-9069 |
| Full Name | Neuropsychology Services Of Louisiana, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1754 Texas St, Natchitoches, Louisiana |
| Authorized Official Name and Position | Tiffany Jennings (OWNER/NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8669448604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Services Of Louisiana, Llc 224 White Oak Ln Natchitoches LA 71457-6708 Ph: (866) 944-8604 | Neuropsychology Services Of Louisiana, Llc 1754 Texas St Natchitoches LA 71457-3429 Ph: (866) 944-8604 |
| NPI Number | 1073869954 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 09/11/2012 |
| Medicare PECOS PAC ID | 4082862206 |
|---|---|
| Medicare Enrollment ID | O20120913000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073869954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1148 (Louisiana) | Primary |
| Provider Name | Tiffany A Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912145640 PECOS PAC ID: 8325296551 Enrollment ID: I20120913000348 |
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