Provider Demographics
NPI:1770593543
Name:KANTOR, ART (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ART
Middle Name:
Last Name:KANTOR
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7339 SERRANO TER
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2215
Mailing Address - Country:US
Mailing Address - Phone:561-638-4151
Mailing Address - Fax:
Practice Address - Street 1:4001 NE SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3805
Practice Address - Country:US
Practice Address - Phone:772-334-0701
Practice Address - Fax:772-334-0702
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8343101YM0800X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered251K00000XAgenciesPublic Health or Welfare