person
Dr. Supriya Ghanta, MD
Cognitive & Behavioral Psychologist in Leesville, Louisiana
NPI 1669550521

Supriya Ghanta is a Cognitive & Behavioral Psychologist based in Leesville, LA and is specialized in Cognitive & Behavioral. Supriya Ghanta practices in Leesville, LA and has the professional credentials of MD. The NPI Number for Supriya Ghanta is 1669550521 and holds a License No. L05605R (Louisiana).

The current practice location address for Supriya Ghanta is 103 Belview Rd, Leesville, LA and can be reached out via phone at 337-238-6431 and via fax at 337-238-7070.

Location: 103 Belview Rd, Leesville, LA, 71496-1526
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Provider Profile Details
NPI Number
1669550521
Provider Name
Supriya Ghanta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
103 Belview Rd, Leesville, LA, 71496-1526
Phone Number
337-238-6431
Fax Number
337-238-7070
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1328006 05 LA
L05605R 01 LA STATE LICENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
103 Belview Rd
City
State
Zip
71446-2902
Phone Number
337-238-6431
Fax Number
337-238-7070
person
Provider Business Mailing Address Details
Address
103 Belview Rd
City
State
Zip
71446-2902
Phone Number
337-238-6431
Fax Number
337-238-7070
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
L05605R (Louisiana)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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