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Individual

DR. JEFFREY SCOTT KINDERDIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-2455
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-2455

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
083337
IA

Other

Enumeration date
11/01/2013
Last updated
09/11/2023
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