Provider Demographics
NPI:1962568519
Name:CANCIAN, BRIANNA RATLIFF (PH D)
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:RATLIFF
Last Name:CANCIAN
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 1:1403 GREENBRIER PKWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0614
Mailing Address - Country:US
Mailing Address - Phone:757-410-0700
Mailing Address - Fax:
Practice Address - Street 1:1403 GREENBRIER PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0614
Practice Address - Country:US
Practice Address - Phone:757-410-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist