JEANNE STREET, PHD, APPC (NPI# 1518267889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518267889 |
| Entity Type | Organization |
| Organization Name | JEANNE STREET, PHD, APPC |
| Practice Address |
610 Herndon Ave. Shreveport LA 71101 |
| Practice Telephone | 3184243867 |
| Practice Fax Number | 3184245006 |
| Mailing Telephone | 3184243867 |
| Mailing Fax Number | 3184245006 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | JEANNE STREET (CLINICAL PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Telephone | 3184243867 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
342 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1105961 | 05 |
| Street Address |
610 HERNDON AVE. |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508055187 | Wendi Leigh Johnson Laborde | Psychologist | 2620 Centenary Blvd Ste 120, Shreveport, LA 71104-3349 | 2007-10-18 |
| 1548452832 | Gerald Kenneth Baker | Psychologist | 702 Kings Hwy, Shreveport, LA 71104-4332 | 2007-08-10 |
| 1033273107 | Jeanne Street | Psychologist | 610 Herndon Ave, Shreveport, LA 71101 | 2006-12-21 |
| 1700983251 | Milton Rhea | Psychologist | 510 E. Stoner Ave, Shreveport, LA 71101 | 2006-09-19 |
| 1730168139 | Alan Lee Rogers | Psychologist | 257 Atkins Ave, Shreveport, LA 71104-4537 | 2006-01-13 |
| 1316577141 | Jennifer L Russell, Psychologist, LLC | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1215309620 | Sarah Watts Drummond | Psychologist | 707 Southfield Rd, Shreveport, LA 71106-2219 | 2015-10-24 |
| 1558789701 | Mark Garcia | Psychologist | 2620 Centenary Blvd, Bldg. #3, Suite 207, Shreveport, LA 71104-3356 | 2014-04-04 |
| 1972947034 | Steven D Abney | Psychologist | 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 | 2013-04-19 |
| 1407198328 | Shannon A Bruno | Psychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2013-03-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on JEANNE STREET, PHD, APPC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.