IndividualActive
Samuel Sentell, PHD MP
NPI 1649370495 · Prescribing (Medical) Psychologist · Shreveport, LA
Provider details
- NPI number
- 1649370495
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD MP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 722 MP (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8504 Line Ave
Shreveport, LA 71106-6146
Phone: (318) 868-2001
Fax: (318) 675-1517
Approximate (ZIP-level) locationGet directions
Mailing address
8504 Line Ave
Shreveport, LA 71106-6146
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.