Provider Demographics
NPI:1023175155
Name:KANTERS, ANNE LEEFELDT (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LEEFELDT
Last Name:KANTERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N SEQUIM AVE
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3456
Mailing Address - Country:US
Mailing Address - Phone:360-683-9881
Mailing Address - Fax:360-683-2125
Practice Address - Street 1:225 N SEQUIM AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3456
Practice Address - Country:US
Practice Address - Phone:360-683-9881
Practice Address - Fax:360-683-2125
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002724103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8857005Medicare ID - Type Unspecified