Individual
RAUL GULLERMO CANCHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD, FORT BENNING, GA 31905
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
776
WY
Other
Enumeration date
01/25/2022
Last updated
01/06/2026
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