Individual
DR. SCUDDY F. FONTENELLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
118 RIDGELAKE DR, METAIRIE, LA 70001-5312
(504) 834-2775
(504) 834-2378
Mailing address
118 RIDGELAKE DR, METAIRIE, LA 70001-5312
(504) 834-2775
(504) 834-2378
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
457
LA
103TS0200X
School Psychologist
Primary
SP301
LA
Other
Enumeration date
07/27/2006
Last updated
09/11/2025
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