Individual
ELIZABETH CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
49 PAVILION AVE, PROVIDENCE, RI 02905-1534
(401) 245-7881
(401) 490-8960
Mailing address
49 PAVILION AVE, PROVIDENCE, RI 02905-1534
(401) 245-7881
(401) 490-8960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00620
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009810
—
RI
Enumeration date
05/22/2006
Last updated
09/04/2013
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