Organization
JENNIFER L RUSSELL, PSYCHOLOGIST, LLC
Active
Other names
Clinical & Forensic Psychology of Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE LARKINS (OFFICE MANAGER)
(318) 685-9148
Entity
Organization
Contact information
Practice address
2800 YOUREE DR STE 369, SHREVEPORT, LA 71104-3646
(318) 685-9148
(318) 693-0103
Mailing address
2800 YOUREE DR STE 369, SHREVEPORT, LA 71104-3646
(318) 685-9148
(318) 693-0103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
03/11/2024
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