Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 6301009290 | MI |
Y | 103TC0700X | Clinical Psychologist | 6301009290 | MI |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1124218334 |
---|---|
Provider Name | James Edmond Cance |
First Address | Coldwater, MI 49036-2041 |
Second Address | Coldwater, MI 49036-2041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 25/07/2007 |