Perry, Samantha Nicole

Perry, Samantha Nicole is an individual health care provider with primary practice located at 1310 N Hearne Ave , Shreveport LA 71107-6516. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Perry, Samantha Nicole can be contacted via phone (318) 676-5131.

Contact Information

Primary practice address
1310 N Hearne Ave Shreveport LA 71107-6516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1427103944
LBN Legal business name Perry, Samantha Nicole
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
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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