Ganza, Carol A

Ganza, Carol A is an individual health care provider with primary practice located at 17840 Cumberland Rd , Noblesville IN 46060-5409. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ganza, Carol A can be contacted via phone (317) 574-1254.

Contact Information

Primary practice address
17840 Cumberland Rd Noblesville IN 46060-5409
Fax: (317) 674-0060
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000526A Indiana

Profile Details

NPI number 1952303703
LBN Legal business name Ganza, Carol A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 10th, 2013 - about 11 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 1952303703 NPPES
Indiana MEDICAID 100073590

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