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Individual
TY G CANNING
Active
Individual
TY G CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSB94022746
CA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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