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Individual

DR. JEAN HUNTER HOLLENSHEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
820 JORDAN ST, SUITE J, SHREVEPORT, LA 71101-4518
(318) 470-6103
(318) 798-4171
Mailing address
7717 CRESWELL RD LOT 34, SHREVEPORT, LA 71106-6033
(318) 470-6103
(318) 798-4171

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
452
LA
103TC0700X
Clinical Psychologist
452
LA
103TC2200X
Clinical Child & Adolescent Psychologist
452
LA

Other

Enumeration date
05/26/2006
Last updated
04/06/2012
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