Provider Demographics
NPI:1104952860
Name:KANTER, NANCY C (PH D)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:C
Last Name:KANTER
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7328 W UNIVERSITY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1635
Mailing Address - Country:US
Mailing Address - Phone:352-514-5821
Mailing Address - Fax:352-363-2488
Practice Address - Street 1:7328 W UNIVERSITY AVE STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1635
Practice Address - Country:US
Practice Address - Phone:352-514-5821
Practice Address - Fax:352-363-2488
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4767103T00000X
FL59834103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist