Dortch, Samantha Deeann

Dortch, Samantha Deeann is an individual health care provider with primary practice located at 4440 Viking Dr Ste 400 , Bossier City LA 71111-7511. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dortch, Samantha Deeann can be contacted via phone (318) 245-4113.

Contact Information

Primary practice address
4440 Viking Dr Ste 400 Bossier City LA 71111-7511
Phone: (318) 245-4113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-45563 Louisiana

Profile Details

NPI number 1508410127
LBN Legal business name Dortch, Samantha Deeann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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