Carrie Stevenson Cantrell, MFT

Individual provider Active NPI Marriage & Family Therapist · Gap, PA

NPI 1134498751 · NPPES record last updated Dec 28, 2011

Key facts

NPI
1134498751
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
835 Houston Run Dr.
Suite 230
Gap, PA 17527
Phone
(717) 442-9577
Fax
(717) 442-9672
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

835 Houston Run Dr.
Suite 230
Gap, PA 17527

Mailing address

835 Houston Run Dr.
Suite 230
Gap, PA 17527
Phone (717) 442-9577

Other providers in Gap, PA

All providers in Gap, PA · Marriage & Family Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.