| Doctor Name: | MS. SALLY LYNN CANTOR |
| NPI Number: | 1114232907 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSW LISW |
| License Number: | CW007301L |
| Business Practice Address: | 3200 Kingsley Rd Shaker Heights, OH - 441222819 |
| Business Phone Number: | 6107375357 |
| Business Fax Number: | |
| Mailing Address: | 3200 Kingsley Rd, SHAKER HEIGHTS |
| State: | OH |
| Postal Code: | 441222819 |
| Phone Number: | 6107375357 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2010 |
| NPI Last Update Date: | 08/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW007301L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |