Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES E CANCILLA, PH.D.
Active Sole ProprietorDR. CHARLES E CANCILLA, PH.D. is a Psychologist healthcare provider located in SUWANEE, Georgia. NPI 1700546488 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SUWANEE, GA
Registration Details
- NPI Number
- 1700546488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2021 (4.6195434979691 yrs)
- Last Updated
- Dec 22, 2021
- License
-
4473 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
897 EVA KENNEDY RDSUWANEE, GA, 300241911Browse GA providers · Browse ZIP 30024
- Phone
- 4044002547
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in SUWANEE, GA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH MCCAMPBELL | PH.D | 1386626000 |
| DR. BARRY LEONARD KLEIN | PH.D. | 1184658965 |
| DR. ROBERT DANIEL SHAFFER | PHD | 1861597353 |
| DR. SCOTT ALAN DUNCAN | PSY.D. | 1275608770 |
| NORMAN LEE | PHD | 1689736175 |
| DR. JEFF WEBER | ED.D. | 1073656054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.