Individual
DR. TIFFANY ANN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
920 PIERREMONT RD, STE 205, SHREVEPORT, LA 71106-2093
(318) 606-4785
(866) 786-4201
Mailing address
224 WHITE OAK LN, NATCHITOCHES, LA 71457-6708
(318) 527-3535
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1148
LA
103TC0700X
Clinical Psychologist
1148
LA
103TC2200X
Clinical Child & Adolescent Psychologist
1148
LA
Other
Enumeration date
02/03/2009
Last updated
02/11/2017
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