Organization
DOUGLAS CANTERBURY-COUNTS, PH.D., P.A.
Active
Other names
Center for Sacred Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DOUGLAS CANTERBURY-COUNTS PH.D. (PRESIDENT)
(772) 569-2239
Entity
Organization
Contact information
Practice address
1365 18TH ST STE 3, VERO BEACH, FL 32960-3577
(772) 569-2239
(772) 365-0386
Mailing address
PO BOX 1365, ROSELAND, FL 32957-1365
(772) 569-2239
(772) 365-0386
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY4461
FL
103T00000X
Psychologist
Primary
PY4461
FL
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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