Individual
DR. JAMES B PINKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-7636
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
938
LA
103TC0700X
Clinical Psychologist
Primary
938
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462942
—
LA
01
—
4C927F600
MEDICARE - PTAN
LA
Enumeration date
07/09/2006
Last updated
07/26/2013
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