Canter, Kimberly
Canter, Kimberly is an individual health care provider with primary practice located at 1600 Rockland Rd , Wilmington DE 19803-3607. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Canter, Kimberly can be contacted via phone (302) 651-4000.Contact Information
Primary practice address
1600 Rockland Rd
Wilmington DE 19803-3607
Phone: (302) 651-4000
Fax: (302) 651-4945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS018410 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | B1-0001076 | Delaware |
Profile Details
NPI number | 1669992624 |
---|---|
LBN Legal business name | Canter, Kimberly |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2017 |
Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669992624 | NPPES |
Pennsylvania | MEDICAID | 103428574 | |
Pennsylvania | MEDICAID | 1669992624 | |
Pennsylvania | MEDICAID | 124240700 |
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