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Individual

DANIEL CANTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY. D.

Contact information

Practice address
7500 GERMANTOWN AVE, ELDERS HALL, SUITE 5, PHILADELPHIA, PA 19119-1600
(267) 417-7476
Mailing address
701 S 50TH ST FL 3, PHILADELPHIA, PA 19143-1689
(215) 242-2235

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS017863
PA
103TC0700X
Clinical Psychologist
Primary
17863
PA

Other

Enumeration date
10/19/2016
Last updated
12/19/2023
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