Individual
DR. DAVID S KANTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
150 S CHURCH ST, FAIRHOPE, AL 36532-1569
(251) 928-5353
(251) 990-4962
Mailing address
150 S CHURCH ST, FAIRHOPE, AL 36532-1569
(251) 928-5353
(251) 990-4962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
768
AL
Other
Enumeration date
10/20/2006
Last updated
07/09/2007
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