Jean S Cannon is a Clinical in Lancaster, Pennsylvania. Jean S Cannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean S Cannon is 1104874445. The last update date is 2011-03-17.
Jean S Cannon's current location address is 1681 Crown Ave, Lancaster, Pennsylvania. You can contact this provider via phone number 7173939388 and fax number 7173939389. The mailing address for Jean S Cannon is 1681 Crown Ave, Lancaster, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean S Cannon |
|---|---|
| Address | 1681 Crown Ave, Lancaster, Pennsylvania |
| Phone Number | 7173939388 |
| Fax Number | 7173939389 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1104874445 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2011-03-17 |
Provider Mailing Address Detail
| Address | 1681 Crown Ave |
|---|---|
| City | Lancaster |
| State | Pennsylvania (PA) |
| Post Code | 176016303 |
| Phone Number | 7173939388 |
| Fax Number | 7173939389 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS015850 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101535870-0001 | PA | -- | |
| CA1850139 | HIGHMARK BLUE SHIEL |
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What is the unique 10-digit identification code issued to Jean S Cannon by the Centers for Medicare & Medicaid Services?
The Jean S Cannon has been assigned the NPI (National Provider Identifier) 1104874445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jean S Cannon located?
The Jean S Cannon is located at 1681 Crown Ave, Lancaster, PA 176016303.
What is Jean S Cannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jean S Cannon is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Jean S Cannon's 1104874445 issued?
The Jean S Cannon's 1104874445 was issued on 2006-05-05.
When was the information related to Jean S Cannon most recently updated or refreshed?
The details pertaining to the Jean S Cannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-17.