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DR. WILLIAM DOUGLAS CANTERBURY-COUNTS PH.D.

Clinical Neuropsychologist

Vero Beach, Florida

Provider NPI: 1033149141

Provider Information:
DR. WILLIAM DOUGLAS CANTERBURY-COUNTS PH.D.
Gender: M
Sole Proprietor


Practice Location:
1365 18TH ST SUITE 3 VERO BEACH, FL 32960 US
Tel: 772-569-2239  Fax: 866-806-5244

Business Mailing Address:
PO BOX 1365  ROSELAND, FL 32957 US
Tel: 772-569-2239  Fax: 866-806-5244

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY4461
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY4461

Other Provider Identifiers:

IssuerNumberStateType
FEIN650286196FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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