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Organization
AYNI NEUROSCIENCE INSTITUTE INC
Active
Organization
AYNI NEUROSCIENCE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT CHARLES CARROLL MD (FOUNDER AND CEO)
(505) 710-2312
Entity
Organization
Contact information
Practice address
2720 CENTRAL AVE SE STE G210, ALBUQUERQUE, NM 87106-2862
(505) 710-2312
Mailing address
3430 MONTE VISTA BLVD NE, ALBUQUERQUE, NM 87106-1327
(505) 710-2312
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
NULL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084F0202X
Forensic Psychiatry Physician
—
NULL
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
NULL
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
NULL
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
NULL
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
10/13/2019
Last updated
01/01/2020
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