| Charlotte Center For Neuropsychological Services | |
|
501 S Sharon Amity Rd Ste 500 Charlotte NC 28211-2897 | |
| (631) 334-1852 | |
| Not Available |
| Full Name | Charlotte Center For Neuropsychological Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 501 S Sharon Amity Rd Ste 500, Charlotte, North Carolina |
| Authorized Official Name and Position | Keith Joseph Ganci (OWNER) |
| Authorized Official Contact | 6313341852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Center For Neuropsychological Services 501 S Sharon Amity Rd Ste 500 Charlotte NC 28211-2897 Ph: () - | Charlotte Center For Neuropsychological Services 501 S Sharon Amity Rd Ste 500 Charlotte NC 28211-2897 Ph: (631) 334-1852 |
| NPI Number | 1588321244 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 5496280786 |
|---|---|
| Medicare Enrollment ID | O20241122003634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588321244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Keith Joseph Ganci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699028431 PECOS PAC ID: 9335378512 Enrollment ID: I20150817002678 |
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