Individual
DR. LARRY CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
190 LIME QUARRY RD., STE 116, MADISON, AL 35758
(256) 461-8896
(256) 461-8897
Mailing address
190 LIME QUARRY RD, STE 116, MADISON, AL 35758
(256) 461-8896
(256) 461-8897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
851
AL
101YP2500X
Professional Counselor
Primary
851
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-99661
FEDERAL BLUE CROSS NO
AL
Enumeration date
10/06/2006
Last updated
05/02/2013
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