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DR. JAMES B PINKSTON PH.D.

Clinical Neuropsychologist

Shreveport, Louisiana

Provider NPI: 1609809912

Provider Information:
DR. JAMES B PINKSTON PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
1501 KINGS HWY  SHREVEPORT, LA 71103 US
Tel: 318-675-5000  Fax: --

Business Mailing Address:
1512 W KIRBY PL  SHREVEPORT, LA 71103 US
Tel: 318-675-7636  Fax: 318-675-5666

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
LA938
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
LA938

Other Provider Identifiers:

IssuerNumberStateType
1462942LA05
MEDICARE - PTAN4C927F600LA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS LA - Page 1

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