Organization
NANCY RABEL CANTERBURY, M.A., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CANTERBURY (PRES.)
(304) 346-6161
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 401, CHARLESTON, WV 25304-1223
(304) 346-6161
(304) 346-6166
Mailing address
3100 MACCORKLE AVE SE, SUITE 401, CHARLESTON, WV 25304-1223
(304) 346-6161
(304) 346-6166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
275
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165269000
—
WV
Enumeration date
04/07/2009
Last updated
04/07/2009
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