Provider Demographics
NPI:1013066547
Name:KAMPS, JODI LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:LYNN
Last Name:KAMPS
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:200 HENRY CLAY AVE
Mailing Address - Street 2:DEPARTMENT OF PSYCHOLOGY SUITE 3030
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-896-9484
Mailing Address - Fax:504-894-5115
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY SUITE 3030
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-9484
Practice Address - Fax:504-894-5115
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA968103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical