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DR. FRANK ELWIN GANTZ PSY.D.

Clinical Neuropsychologist

Salisbury, North Carolina

Provider NPI: 1790748366

Provider Information:
DR. FRANK ELWIN GANTZ PSY.D.
Gender: M


Practice Location:
VA MEDICAL CENTER (11M-2) 1601 BRENNER AV SALISBURY, NC 28144 US
Tel: 704-638-9000  Fax: 704-638-3488

Business Mailing Address:
445 DELBURG ST  DAVIDSON, NC 28036 US
Tel: 704-892-8666  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC1775
X103TA0400XBehavioral Health & Social Service Providers
Psychologist
NC1775
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
NC1775
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
NC1775
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
NC1775
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
NC1775
X103T00000XBehavioral Health & Social Service Providers
Psychologist
NC1775
X103TP2701XBehavioral Health & Social Service Providers
Psychologist
NC1775

Other Provider Identifiers:

IssuerNumberStateType
6000398NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NC - Page 1

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