Dr Charles E Cancilla, PHD - Psychologist in Suwanee, GA

Dr Charles E Cancilla, PHD is a Psychologist based in Suwanee, Georgia. Dr Charles E Cancilla is licensed to practice in Georgia (license number 4473) and his current practice location is 897 Eva Kennedy Rd, Suwanee, Georgia. He can be reached at his office (for appointments etc.) via phone at (404) 400-2547.

NPI number for Dr Charles E Cancilla is 1700546488 and his current mailing address is 2345 Duncans Shore Dr, Buford, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700546488.

Contact Information

Dr Charles E Cancilla, PHD
897 Eva Kennedy Rd,
Suwanee, GA 30024-1911
(404) 400-2547
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Charles E Cancilla
GenderMale
SpecialityPsychologist
Location897 Eva Kennedy Rd, Suwanee, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700546488
  • Provider Enumeration Date: 12/22/2021
  • Last Update Date: 12/22/2021

Medical Identifiers

Medical identifiers for Dr Charles E Cancilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700546488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 4473 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles E Cancilla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles E Cancilla, PHD
2345 Duncans Shore Dr,
Buford, GA 30519-6222

Ph: (404) 218-0180
Dr Charles E Cancilla, PHD
897 Eva Kennedy Rd,
Suwanee, GA 30024-1911

Ph: (404) 400-2547

Reviews and Comments


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