Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUPRIYA GHANTA, MD
Active Sole ProprietorDR. SUPRIYA GHANTA, MD is a Cognitive & Behavioral Psychologist healthcare provider located in LEESVILLE, Louisiana. NPI 1669550521 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · LEESVILLE, LA
Registration Details
- NPI Number
- 1669550521
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.639791212684 yrs)
- Last Updated
- Nov 5, 2021
- License
-
L05605R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 BELVIEW RDLEESVILLE, LA, 714462902Browse LA providers · Browse ZIP 71446
- Phone
- 3372386431
- Fax
- 3372387070
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
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.