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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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