Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN GANICK
Active Sole ProprietorEVAN GANICK is a Adult Mental Health Clinic healthcare provider located in ELMWOOD, Tennessee. NPI 1003562869 is currently active in the NPPES registry. Verify at CMS.
Adult Mental Health Clinic · ELMWOOD, TN
Registration Details
- NPI Number
- 1003562869
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2022 (4.4510033977525 yrs)
- Last Updated
- Mar 1, 2022
- Licenses
-
115656 (NY)115656 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
89 OUCHONDER RDELMWOOD, TN, 385604232Browse TN providers · Browse ZIP 38560
- Phone
- 6155796241
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
- Additional Specialty
- Adult Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.