Individual
DR. ELLEN KANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 E MAIN ST, SUITE 3-8, HUNTINGTON, NY 11743-2923
(631) 351-3436
Mailing address
205 E MAIN ST, SUITE 3-8, HUNTINGTON, NY 11743-2923
(631) 351-3436
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7003
NY
Other
Enumeration date
02/23/2007
Last updated
10/10/2007
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