Cannava, Peter Paul

Cannava, Peter Paul is an individual health care provider with primary practice located at 230 E Marydale Ave Suite 1, Soldotna AK 99669-7648. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cannava, Peter Paul can be contacted via phone (907) 260-3691.

Contact Information

Primary practice address
230 E Marydale Ave Suite 1 Soldotna AK 99669-7648
Phone: (907) 260-3691
Fax: (907) 260-7301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 516 Alaska

Profile Details

NPI number 1508997867
LBN Legal business name Cannava, Peter Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 25th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508997867 NPPES
Alaska MEDICAID FH177FQ
Alaska MEDICAID MH0156

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