Individual
NANCY RABEL CANTERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 401, CHARLESTON, WV 25304-1215
(304) 346-6161
(304) 346-6166
Mailing address
3100 MACCORKLE AVE SE, SUITE 401, CHARLESTON, WV 25304-1215
(304) 346-6161
(304) 346-6166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
22019
WV
103TC0700X
Clinical Psychologist
Primary
275
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165269000
—
WV
Enumeration date
08/02/2006
Last updated
02/12/2009
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