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Organization

GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SC

Active
Parent organization
GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SC
Authorized official
LORI A SMITH (OFFICE MANAGER)
(847) 816-6441
Entity
Organization

Contact information

Practice address
9327 N 3RD ST STE 200, PHOENIX, AZ 85020-2473
(847) 816-6335
Mailing address
PO BOX 14545, BELFAST, ME 04915-4038
(847) 816-6335

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2084N0400X
Neurology Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
03/26/2024
Last updated
01/17/2025
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