Individual
NANCY L CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 588-3611
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 588-3611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1103082501
UT
Other
Enumeration date
07/26/2006
Last updated
11/17/2010
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