Cancilla, Charles E
Cancilla, Charles E is an sole proprietor health care provider with primary practice located at 897 Eva Kennedy Rd , Suwanee GA 30024-1911. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cancilla, Charles E can be contacted via phone (404) 400-2547.Contact Information
Primary practice address
897 Eva Kennedy Rd
Suwanee GA 30024-1911
Phone: (404) 400-2547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4473 | Georgia |
Profile Details
| NPI number | 1700546488 |
|---|---|
| LBN Legal business name | Cancilla, Charles E |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2021 |
| Last updated | Dec 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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