Organization
COURTNEY J. CANTRELL, PSY.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY CANTRELL PSY.D. (OWNER)
(954) 947-8580
Entity
Organization
Contact information
Practice address
1650 NE 26TH ST STE 201, WILTON MANORS, FL 33305-1431
(954) 947-8580
(954) 947-8582
Mailing address
1650 NE 26TH ST STE 201, WILTON MANORS, FL 33305-1431
(954) 947-8580
(954) 947-8582
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
06/11/2019
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