Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Russell, PHD

Individual provider Psychologist · NPI 1114347846

Jennifer Russell, PHD is a Clinical Psychologist in Shreveport, Louisiana. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
17
Licensed in
LA, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3341 Youree Dr Ste 20A
Shreveport, LA 71105-2149
Phone: (318) 425-2000
Fax: (318) 424-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1399 (LA)
Psychologist Taxonomy 103T00000X · Licence 35083 (TX)

Record details

NPI number1114347846
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 21, 2014
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport