Bansal, Anita

Bansal, Anita is an individual health care provider with primary practice located at 5755 N Point Pkwy Suite 256, Alpharetta GA 30022-1142. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bansal, Anita can be contacted via phone (770) 667-3877.

Contact Information

Primary practice address
5755 N Point Pkwy Suite 256 Alpharetta GA 30022-1142
Fax: (770) 667-3879
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002662 Georgia

Profile Details

NPI number 1760592737
LBN Legal business name Bansal, Anita
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760592737 NPPES
Georgia MEDICAID 685007337A

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