Provider Demographics
NPI:1841755626
Name:ALCANTAR, BRIANNA MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:MARIE
Last Name:ALCANTAR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 E LAUREL DR BLDG H
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-1300
Mailing Address - Country:US
Mailing Address - Phone:831-796-1323
Mailing Address - Fax:
Practice Address - Street 1:855 E LAUREL DR BLDG H
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-1300
Practice Address - Country:US
Practice Address - Phone:831-796-1323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic