| Ganesha Institute Of Neurology And Psychiatry Sc | |
|
101 N Colorado St Chandler AZ 85225-5534 | |
| (847) 816-6335 | |
| Not Available |
| Full Name | Ganesha Institute Of Neurology And Psychiatry Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 N Colorado St, Chandler, Arizona |
| Authorized Official Name and Position | Lori A Smith (OFFICE MANAGER) |
| Authorized Official Contact | 8478166441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ganesha Institute Of Neurology And Psychiatry Sc Po Box 14545 Belfast ME 04915-4038 Ph: (847) 816-6335 | Ganesha Institute Of Neurology And Psychiatry Sc 101 N Colorado St Chandler AZ 85225-5534 Ph: (847) 816-6335 |
| NPI Number | 1134979644 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 0042432296 |
|---|---|
| Medicare Enrollment ID | O20240412002477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134979644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Shannon Marie Winans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093425985 PECOS PAC ID: 3072953520 Enrollment ID: I20240430004345 |
| Provider Name | Vesna Pepic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649917790 PECOS PAC ID: 9234577271 Enrollment ID: I20240501002153 |
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