Dr Supriya Ghanta, MD | |
103 Belview Rd, Leesville, LA 71446-2902 | |
(337) 238-6431 | |
(337) 238-7070 |
Full Name | Dr Supriya Ghanta |
---|---|
Gender | Female |
Speciality | Psychologist - Cognitive & Behavioral |
Location | 103 Belview Rd, Leesville, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669550521 | NPI | - | NPPES |
1328006 | Medicaid | LA | |
L05605R | Other | LA | STATE LICENCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | L05605R (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Supriya Ghanta, MD Po Box 1526, Leesville, LA 71496-1526 Ph: (337) 238-6431 | Dr Supriya Ghanta, MD 103 Belview Rd, Leesville, LA 71446-2902 Ph: (337) 238-6431 |
Dr. Elfi Silva Deporter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1585th Street (bldg 285), Leesville, LA 71459 Phone: 337-531-3922 Fax: 337-531-3760 | |
Dr. Addison Sandel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Belview Rd, Leesville, LA 71446 Phone: 318-238-6431 Fax: 318-238-7070 |