Sharon S Cannon is a Clinical in Columbia, Maryland. Sharon S Cannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sharon S Cannon is 1689730087. The last update date is 2022-11-16.
Sharon S Cannon's current location address is 10630 Little Patuxent Pkwy Ste 313, Columbia, Maryland. You can contact this provider via phone number 4109882860 and fax number 4109882024. The mailing address for Sharon S Cannon is 10630 Little Patuxent Pkwy Ste 313, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sharon S Cannon |
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Address | 10630 Little Patuxent Pkwy Ste 313, Columbia, Maryland |
Phone Number | 4109882860 |
Fax Number | 4109882024 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1689730087 |
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Provider Enumeration Date | 2006-12-29 |
Last Updated Date | 2022-11-16 |
Provider Mailing Address Detail
Address | 10630 Little Patuxent Pkwy Ste 313 |
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City | Columbia |
State | Maryland (MD) |
Post Code | 210446216 |
Phone Number | 4109882860 |
Fax Number | 4109882024 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 4654 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3144 | MIDLANDS CHOICE | ||
6135835 | UNITED BEHAVIORAL HEALTH | ||
8130 | NE | BCBS |
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What is the unique 10-digit identification code issued to Sharon S Cannon by the Centers for Medicare & Medicaid Services?
The Sharon S Cannon has been assigned the NPI (National Provider Identifier) 1689730087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Sharon S Cannon's physical address?
The Sharon S Cannon is physically located at 10630 Little Patuxent Pkwy Ste 313, in the city of Columbia, MD, with the postal code 210446216.
What is the Sharon S Cannon's specialty and taxonomy code?
The Sharon S Cannon's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Sharon S Cannon receive the assignment of its 1689730087 from the Centers for Medicare & Medicaid Services?
The Sharon S Cannon was issued its 1689730087 by the Centers for Medicare & Medicaid Services on 2006-12-29.
As of what date was the information regarding Sharon S Cannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sharon S Cannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-16.
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