| Doctor Name: | MARY CANANE |
| NPI Number: | 1194744789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH0002141 |
| Business Practice Address: | 1480 Royal Palm Beach Blvd. Suite C Royal Palm Beach, FL - 334111608 |
| Business Phone Number: | 5613015355 |
| Business Fax Number: | 5617928865 |
| Mailing Address: | 15895 66th Ct N, LOXAHATCHEE |
| State: | FL |
| Postal Code: | 334703426 |
| Phone Number: | 5617959695 |
| Fax Number: | 5617928865 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 02/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MH0002141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |