Whalio Doctors

NPI 1912145640

Tiffany Ann Jennings, PSYD

Practitioner Clinical Neuropsychologist Shreveport, LA

Practice location

Address
920 Pierremont Rd STE 205, Shreveport, LA 71106-2093
Phone
(318) 606-4785
Fax
(866) 786-4201
Mailing address
224 White Oak Ln, Natchitoches, LA 71457-6708

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1148 (LA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1148 (LA)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 1148 (LA)

Registry record

NPI
1912145640
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Feb 2009
Record last updated
11 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.