Nancy A Cannon is a Clinical in Mequon, Wisconsin. Nancy A Cannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nancy A Cannon is 1891718078. The last update date is 2007-07-08.
Nancy A Cannon's current location address is 11520 N Port Washington Road, Mequon, Wisconsin. You can contact this provider via phone number 4148039967. The mailing address for Nancy A Cannon is 11520 N Port Washington Road, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy A Cannon |
|---|---|
| Address | 11520 N Port Washington Road, Mequon, Wisconsin |
| Phone Number | 4148039967 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1891718078 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11520 N Port Washington Road |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530923352 |
| Phone Number | 4148039967 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2523057 |
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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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What is the unique identifier code issued to Nancy A Cannon by the Centers for Medicare & Medicaid Services (CMS)?
The Nancy A Cannon has been assigned the NPI (National Provider Identifier) 1891718078. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Nancy A Cannon?
The Nancy A Cannon is situated at 11520 N Port Washington Road, in the city of Mequon, state of WI, with the zip code 530923352.
What is Nancy A Cannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nancy A Cannon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1891718078 assigned to Nancy A Cannon?
The Nancy A Cannon was issued its 1891718078 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Nancy A Cannon last refreshed?
The information related to the Nancy A Cannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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