MEDICARE: DR. ALLEN DAVID KANNER PH.D.

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
1	103TC0700X	Clinical Psychologist	PSY 9273	CA

General Provider Information

NPI Number	:	1336266352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN DAVID KANNER PH.D.

Provider Business Mailing Address
First Line	:	1350 SOLANO AVE
Second Line	:	UNIT A
City	:	ALBANY
State	:	CA
Zip	:	94706-1853
Country	:	US
Telephone Number	:	510-558-7210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 SOLANO AVE
Second Line	:	UNIT A
City	:	ALBANY
State	:	CA
Zip	:	94706-1853
Country	:	US
Telephone Number	:	510-558-7210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	11/01/2016

Similar Medicare Providers

1114131398 — DR. ED SCHMOOKLER PHD
Practice Location Address:

1350 SOLANO AVE , UNIT A
ALBANY, CA
94706-1853

Practice Phone: 510-524-3654
Practice Fax:

1720283286 — ROBERT PHILIP RAGUCCI LMFT
Practice Location Address:

1350 SOLANO AVE SUITE 4
ALBANY, CA
94706-1853

Practice Phone: 510-529-1169
Practice Fax: 510-233-7516

1982895892 — KELLY L RAVENEL M.A.
Practice Location Address:

1350 SOLANO AVE UNIT A
ALBANY, CA
94706-1853

Practice Phone: 510-859-3383
Practice Fax:

1770416448 — EMELY NATALI LUGO M.A.
Practice Location Address:

555 OHLONE AVE APT 307
ALBANY, CA
94706-2697

Practice Phone: 909-904-8037
Practice Fax:

1215677232 — MATTHEW MARTIN SCHOLL
Practice Location Address:

400 EVELYN AVE STE 115
ALBANY, CA
94706-1350

Practice Phone: 510-524-0224
Practice Fax: 510-524-0215

1972507507 — ERIC HUSBY-GERRY DC
Practice Location Address:

1037 SOLANO AVE
ALBANY, CA
94706-1650

Practice Phone: 510-524-7005
Practice Fax: 510-524-7007

Directions to “ DR. ALLEN DAVID KANNER PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.