Individual
DR. JEFFREY HERMAN LEBLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
1341 WHITEHALL DR, PLANTATION TRACE, BOSSIER CITY, LA 71112-4549
(318) 747-2124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001565
VA
Other
Enumeration date
08/29/2006
Last updated
07/09/2007
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