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Individual

DR. SAMUEL WEBB SENTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD MP

Contact information

Practice address
8504 LINE AVE, SHREVEPORT, LA 71106-6146
(318) 868-2001
(318) 675-1517
Mailing address
8504 LINE AVE, SHREVEPORT, LA 71106-6146
(318) 868-2001
(318) 675-1517

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
722 MP
LA
103TC0700X
Clinical Psychologist
722 MP
LA
103TC2200X
Clinical Child & Adolescent Psychologist
722 MP
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
722 MP
LA
106H00000X
Marriage & Family Therapist
722 MP
LA

Other

Enumeration date
09/22/2006
Last updated
07/30/2025
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