Provider Demographics
NPI:1962391888
Name:CANTER, ERIN R (EDS, LEP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:CANTER
Suffix:
Gender:F
Credentials:EDS, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E GRANVIA VALMONTE
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6177
Mailing Address - Country:US
Mailing Address - Phone:415-304-9908
Mailing Address - Fax:
Practice Address - Street 1:1100 E GRANVIA VALMONTE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6177
Practice Address - Country:US
Practice Address - Phone:415-304-9908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4699103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool