DR. Lacy Kantra, PHD

NPI #1831744846 in Fairhope, Alabama

Provider Information

NPI Number: 1831744846
Entity Type: Individual
Name: DR. Lacy Kantra, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 150 S CHURCH ST
City: Fairhope
State: Alabama
ZIP Code: 36532-1569
Phone: (251) 928-5363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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