Provider Demographics
NPI:1023251154
Name:CANAS, AMY URBANOWICZ (IMFT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:URBANOWICZ
Last Name:CANAS
Suffix:
Gender:F
Credentials:IMFT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:URBANOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IMFT
Mailing Address - Street 1:2191 W 28TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4004
Mailing Address - Country:US
Mailing Address - Phone:415-609-2690
Mailing Address - Fax:
Practice Address - Street 1:14701 DETROIT AVE
Practice Address - Street 2:SUITE 775
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4115
Practice Address - Country:US
Practice Address - Phone:415-609-2690
Practice Address - Fax:216-228-1610
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF. 1300006106H00000X
CA56659106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist