Organization
CHARLOTTE CENTER FOR NEUROPSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JOSEPH GANCI PH.D. (OWNER)
(631) 334-1852
Entity
Organization
Contact information
Practice address
501 S SHARON AMITY RD STE 500, CHARLOTTE, NC 28211-2897
(631) 334-1852
Mailing address
501 S SHARON AMITY RD STE 500, CHARLOTTE, NC 28211-2897
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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