Maria E Gangarosa-Emerson, Phd, Pc

LBN: Child Neurobehavioral Center For Health & Wellness, Pc
Maria E Gangarosa-Emerson, Phd, Pc is an health care organization with primary practice located at 302 Baston Rd , Martinez GA 30907-2906. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Child Neurobehavioral Center For Health & Wellness, Pc can be contacted via phone (706) 447-8700, or through Gangarosa Emerson, Maria E via phone (706) 447-8700.

Contact Information

Primary practice address
302 Baston Rd Martinez GA 30907-2906
Phone: (706) 447-8700
Fax: (706) 447-8701
Website:
Map and Directions
Authorized official contact:
Name: Gangarosa Emerson, Maria E PHD
Phone: (706) 447-8700

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2381 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2381 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1295898476
LBN Legal business name Child Neurobehavioral Center For Health & Wellness, Pc
DBA Doing business as Maria E Gangarosa-Emerson, Phd, Pc
Authorized official Gangarosa Emerson, Maria E PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 3rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295898476 NPPES
Georgia Other 52669312-001 BCBS
Georgia MEDICAID 000852277B BCBS

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