Individual
DR. SUPRIYA GHANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 238-6431
(337) 238-7070
Mailing address
PO BOX 1526, LEESVILLE, LA 71496-1526
(337) 238-6431
(337) 238-1526
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
L05605R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328006
—
LA
01
—
L05605R
STATE LICENCE NUMBER
LA
Enumeration date
11/01/2006
Last updated
11/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us