Healthcare Provider Details

I. General information

NPI: 1962391888
Provider Name (Legal Business Name): ERIN R. CANTER EDS, LEP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E GRANVIA VALMONTE
PALM SPRINGS CA
92262-6177
US

IV. Provider business mailing address

1100 E GRANVIA VALMONTE
PALM SPRINGS CA
92262-6177
US

V. Phone/Fax

Practice location:
  • Phone: 415-304-9908
  • Fax:
Mailing address:
  • Phone: 415-304-9908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4699
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: