David S Kantra in Fairhope - Clinical

David S Kantra - NPI 1285716001

David S Kantra is a Clinical in Fairhope, Alabama. David S Kantra practices all healthcare services and medical treatments related to Clinical. The NPI Number for David S Kantra is 1285716001. The last update date is 2007-07-09.

David S Kantra's current location address is 150 S Church St, Fairhope, Alabama. You can contact this provider via phone number 2519285353 and fax number 2519904962. The mailing address for David S Kantra is 150 S Church St, Fairhope, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name David S Kantra
Address 150 S Church St, Fairhope, Alabama
Phone Number 2519285353
Fax Number 2519904962
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1285716001
Provider Enumeration Date 2006-10-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 150 S Church St
City Fairhope
State Alabama (AL)
Post Code 365321569
Phone Number 2519285353
Fax Number 2519904962

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 768
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about David S Kantra

What is the David S Kantra's unique identification number?

The David S Kantra has been assigned the NPI (National Provider Identifier) Number 1285716001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of David S Kantra?

The David S Kantra is physically situated at 150 S Church St, in the city of Fairhope, state of AL, with the postal code 365321569.

What is David S Kantra's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David S Kantra is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285716001 to David S Kantra?

The Centers for Medicare & Medicaid Services originally issued the 1285716001 to David S Kantra on 2006-10-20.

As of what date was the information regarding David S Kantra, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David S Kantra, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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