Fontenelle, Scuddy F.
Fontenelle, Scuddy F. is an sole proprietor health care provider with primary practice located at 118 Ridgelake Dr , Metairie LA 70001-5312. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Fontenelle, Scuddy F. can be contacted via phone (504) 834-2775.Contact Information
Primary practice address
118 Ridgelake Dr
Metairie LA 70001-5312
Phone: (504) 834-2775
Fax: (504) 834-2378
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 457 | Louisiana |
Behavioral Health & Social Service Providers / School | 103TS0200X | SP301 | Louisiana |
Profile Details
NPI number | 1477577922 |
---|---|
LBN Legal business name | Fontenelle, Scuddy F. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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