Individual
DR. JENNIFER LONGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5505 CAMP ST, NEW ORLEANS, LA 70115-3105
(512) 739-9334
Mailing address
5505 CAMP ST, NEW ORLEANS, LA 70115-3105
(512) 739-9334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
L-044
LA
103T00000X
Psychologist
Primary
1274
LA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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