Individual
DR. KATIE JEANNE CANTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2441 MEDICAL PARKWAY, SUITE 400, CARROLLTON, TX 75010
(469) 608-1352
(469) 283-2953
Mailing address
2441 MEDICAL PARKWAY, SUITE 400, CARROLLTON, TX 75010
(469) 608-1352
(469) 283-2953
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00P96M
BLUECROSS BLUESHIELD OF TEXAS INDIVIDUAL RECORD ID
TX
Enumeration date
08/15/2012
Last updated
12/22/2016
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