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JEANNE STREET PHD
NPI 1033273107
Psychologist - Clinical in Shreveport, LA

Active since December 21, 2006
610 HERNDON AVE, SHREVEPORT, LA 71101(318) 424-3867(318) 424-5006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeanne Street Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNE STREET PHD (NPI 1033273107) is an individual clinical provider in Shreveport, Louisiana, licensed in Louisiana (342) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1033273107
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJEANNE STREETCredential: PHD
Location Address610 HERNDON AVEShreveport, LA 71101
Mailing Address610 Herndon AveShreveport, LA 71101 · (318) 424-3867 · Fax (318) 424-5006
Phone(318) 424-3867
Fax(318) 424-5006
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033273107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in LA · 342
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
610 HERNDON AVE, Shreveport, LA 71101
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Other Identifiers 4

Medicare ID-Type Unspecified56408
Medicare UPINR19396
Medicaid1105961LA
Other20777LA · Bcbs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanne Street's NPI number?

The NPI number for Jeanne Street is 1033273107. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Jeanne Street located?

Jeanne Street practices at 610 Herndon Ave, Shreveport, LA 71101. The listed phone number is (318) 424-3867.

What is Jeanne Street's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jeanne Street was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.