Joseph Patrick Gannon in San Diego - Cognitive & Behavioral
Joseph Patrick Gannon - NPI 1467440347
Joseph Patrick Gannon is a Cognitive & Behavioral in San Diego, California. Joseph Patrick Gannon practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Joseph Patrick Gannon is 1467440347. The last update date is 2022-07-30.
Joseph Patrick Gannon's current location address is 4445 Eastgate Mall Ste 200, San Diego, California. You can contact this provider via phone number 8587055439 and fax number 8587711078. The mailing address for Joseph Patrick Gannon is 4445 Eastgate Mall Ste 200, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Patrick Gannon |
|---|---|
| Address | 4445 Eastgate Mall Ste 200, San Diego, California |
| Phone Number | 8587055439 |
| Fax Number | 8587711078 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1467440347 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2022-07-30 |
Provider Mailing Address Detail
| Address | 4445 Eastgate Mall Ste 200 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921211979 |
| Phone Number | 8587055439 |
| Fax Number | 8587711078 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | PSY12034 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPL120340 | CA | BLUE SHIELD/BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Joseph Patrick Gannon by the Centers for Medicare & Medicaid Services?
The Joseph Patrick Gannon has been issued the NPI (National Provider Identifier) 1467440347. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Joseph Patrick Gannon is geographically located?
The Joseph Patrick Gannon is physically situated at the following location: 4445 Eastgate Mall Ste 200, San Diego, CA, 921211979.
What is Joseph Patrick Gannon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph Patrick Gannon's area of specialization is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this field of practice is 103Tb0200X.
When did the Joseph Patrick Gannon receive its 1467440347?
The Joseph Patrick Gannon was issued its 1467440347 on 2005-10-13, which is the date when the organization was assigned this unique identifier.
When was the Joseph Patrick Gannon's information last updated?
The Joseph Patrick Gannon's information was last updated on 2022-07-30.