NPI Code Details Logo

NPI 1588067490

NPI 1588067490 : CLAUDIA GRACE CANALES PH.D. : SALINA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588067490
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CLAUDIA GRACE CANALES PH.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/06/2014
-----------------------------------------------------
    Last Update Date     |    08/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    730 HOLLY LN 
-----------------------------------------------------
    City                 |    SALINA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67401-8452
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    785-452-4930
-----------------------------------------------------
    Fax                  |    785-452-4932
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    217 FLINT LOCK RD 
-----------------------------------------------------
    City                 |    CHARLESTON
-----------------------------------------------------
    State                |    WV
-----------------------------------------------------
    Zip                  |    25314-2481
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    785-452-4930
-----------------------------------------------------
    Fax                  |    785-452-4932
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    1347
-----------------------------------------------------
    License Number State |    WV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    2554
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.