Individual
DR. NANCY CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2001 DWIGHT WAY, 5TH FLOOR NORTH, BERKELEY, CA 94704-2608
(510) 204-3080
(510) 204-4655
Mailing address
2001 DWIGHT WAY, 5TH FLOOR NORTH, BERKELEY, CA 94704-2608
(510) 204-3080
(510) 204-4655
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19762
CA
103T00000X
Psychologist
PSY19762
CA
103TC0700X
Clinical Psychologist
PSY19762
CA
103TR0400X
Rehabilitation Psychologist
PSY19762
CA
Other
Enumeration date
02/05/2007
Last updated
07/10/2007
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