Dr Supriya Ghanta, MD in Leesville, LA - Psychologist

Dr Supriya Ghanta, MD is a Psychologist - Cognitive & Behavioral based in Leesville, Louisiana. Dr Supriya Ghanta is licensed to practice in Louisiana (license number L05605R) and her current practice location is 103 Belview Rd, Leesville, Louisiana. She can be reached at her office (for appointments etc.) via phone at (337) 238-6431.

NPI number for Dr Supriya Ghanta is 1669550521 and her current mailing address is Po Box 1526, Leesville, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669550521.

Contact Information

	Dr Supriya Ghanta, MD
	103 Belview Rd, Leesville, LA 71446-2902
	(337) 238-6431
	(337) 238-7070

Healthcare Provider's Profile

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.

NPI Data:

NPI Number: 1669550521
Provider Enumeration Date: 11/01/2006
Last Update Date: 11/05/2021

Medical Identifiers

Medical identifiers for Dr Supriya Ghanta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669550521	NPI	-	NPPES
1328006	Medicaid	LA
L05605R	Other	LA	STATE LICENCE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	L05605R (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Supriya Ghanta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Psychologist in Leesville, LA

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
Paula Muse, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3353 University Pkwy, Leesville, LA 71446 Phone: 337-392-3870

Dr Supriya Ghanta, MD - Psychologist in Leesville, LA