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
Phone: (317) 574-1254
Fax: (317) 674-0060
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952303703 | NPPES |
| Indiana | MEDICAID | 100073590 |
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