Individual
MR. DAVID JOSEPH CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
805 FARMINGTON AVE, 2ND FL, WEST HARTFORD, CT 06119-1670
(860) 231-9690
(860) 231-9690
Mailing address
805 FARMINGTON AVE, 2ND FL, WEST HARTFORD, CT 06119-1670
(860) 231-9690
(860) 231-9690
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000898
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410000898CT03
ANTHEM PROVIDER NUMBER
CT
Enumeration date
01/20/2007
Last updated
07/08/2007
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