Doctor Name: | TERRY CANTELMO |
NPI Number: | 1033474507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7074 Grove Rd Brooksville, FL - 346098658 |
Business Phone Number: | 3525409335 |
Business Fax Number: | 3525440722 |
Mailing Address: | 11290 Corinthian St, SPRING HILL |
State: | FL |
Postal Code: | 346095517 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |