Individual
DR. REBECCA CANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1225 VINE ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1116
(215) 304-0680
Mailing address
211 LAZARETTO RD, 12 G, PROSPECT PARK, PA 19076-1835
(610) 304-0680
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016417
PA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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