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Contact Information

GLEN A CANTER JR, LPT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA93401-4535
 Phone: 805-781-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for GLEN A CANTER JR · (Male)

NPI # 1255903845
Status Active
Credentials LPT
Entity Individual
Enumeration date 07/13/2021
Last updated 07/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 32987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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