Individual
DR. JESSE SMOTHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
120 VILLAGE ST STE 2, SLIDELL, LA 70458-5300
(888) 606-0086
(346) 223-0296
Mailing address
121 STRATFORD DR, SLIDELL, LA 70458-1745
(985) 285-9473
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1577PL
LA
103TC0700X
Clinical Psychologist
1577PL
LA
Other
Enumeration date
04/28/2021
Last updated
05/05/2026
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