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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
2084F0202X
Forensic Psychiatry Physician
2084P0005X
Neurodevelopmental Disabilities Physician
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2084P0805X
Geriatric Psychiatry Physician

Other

Enumeration date
10/13/2019
Last updated
01/01/2020
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