Christine C. Cantrell, PHD, LLC
Organization Active NPI Community/Behavioral Health Agency · Berkley, MI
NPI 1417280546 · NPPES record last updated Nov 14, 2021
Key facts
- NPI
- 1417280546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 6301009340 (MI)
- Legal business name
- CHRISTINE C. CANTRELL, PHD, LLC
- Practice address
- 3926 Royal Ave Ste a
Berkley, MI 48072-3436 - Phone
- (248) 591-2888
- Fax
- (248) 677-3350
- NPI assigned
- Sep 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Christine Claire Cantrell, PHD
- Title
- Owner
- Phone
- (248) 591-2888
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6301009340 | MI | Yes |
Addresses
Primary practice location
3926 Royal Ave Ste a
Berkley, MI 48072-3436
Mailing address
3926 Royal Ave Ste a
Berkley, MI 48072-3436
Phone (248) 591-2888
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.