SUPRIYA GHANTA

LEESVILLE, LA
NPI1669550521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TB0200X Psychologist, Cognitive & Behavioral
(Licence: LA  L05605R)
Enumeration Date2006-11-01
Last Update Date2021-11-05
Business Address
Dr. SUPRIYA GHANTA MD
103 BELVIEW RD
LEESVILLE, LA 71446-2902
Phone number: 337-238-6431
Mailing Address
Dr. SUPRIYA GHANTA MD
PO BOX 1526
LEESVILLE, LA 71496-1526
Phone number: 337-238-6431
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