Dr. Scuddy F. Fontenelle III, Ph.D.
Psychologist, School in Metairie, LA. Individual provider (NPI-1).
NPI number1477577922
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1477577922
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scuddy F. Fontenelle III
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | SP301 | LA | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 457 | LA |
Practice location
118 Ridgelake DrMetairie, LA 70001-5312
Phone 504-834-2775 · Fax 504-834-2378
Mailing address
118 Ridgelake DrMetairie, LA 70001-5312
Phone 504-834-2775 · Fax 504-834-2378
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other School Psychologist providers in Metairie, LA
- Assessment & Psychological Services, INCNPI 1982098943
- Ann Carlin Dettman, SSP, LSSPNPI 1053060871
- Emonet PsychologyNPI 1689029274
- Nekeshia HendersonNPI 1851018816
All 5 School Psychologist providers in Metairie · All 7,185 providers in Metairie
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