Individual
ANNETTE LYNN CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(512) 903-2257
Mailing address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(512) 903-2257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3242
OR
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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