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NPI Code Detail

MEDICARE: RYAN CANTER

MEDICARE: RYAN CANTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1558491548CA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1558491548
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CANTER
Provider Business Mailing Address
First Line : 1100 E GRANVIA VALMONTE
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-6177
Country : US
Telephone Number : 619-871-5869
Fax Number :
Provider Business Practice Location Address
First Line : 150 DISTRICT CENTER DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-3626
Country : US
Telephone Number : 619-871-5869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/22/2025

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Directions to “ RYAN CANTER ” Practice Location

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