Jill Cannon is a Group Psychotherapy in Katonah, New York. Jill Cannon practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Jill Cannon is 1225003379. The last update date is 2009-10-23.
Jill Cannon's current location address is 130 Allison Rd, Katonah, New York. You can contact this provider via phone number 9144019010 and fax number 9144019009. The mailing address for Jill Cannon is 130 Allison Rd, Katonah, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Cannon |
|---|---|
| Address | 130 Allison Rd, Katonah, New York |
| Phone Number | 9144019010 |
| Fax Number | 9144019009 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1225003379 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2009-10-23 |
Provider Mailing Address Detail
| Address | 130 Allison Rd |
|---|---|
| City | Katonah |
| State | New York (NY) |
| Post Code | 105363430 |
| Phone Number | 9144019010 |
| Fax Number | 9144019009 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | 19571 |
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Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140019057NY01 | ANTHEM | ||
| 135497 | VALUE OPTIONS |
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What is the unique identification code assigned to Jill Cannon by the Centers for Medicare & Medicaid Services?
The Jill Cannon has been issued the NPI (National Provider Identifier) 1225003379. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jill Cannon located?
The Jill Cannon is located at 130 Allison Rd, Katonah, NY 105363430.
What is Jill Cannon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill Cannon's area of specialization is Group Psychotherapy, and the corresponding taxonomy code that categorizes this field of practice is 103Tp2701X.
When did the Jill Cannon receive its 1225003379?
The Jill Cannon was issued its 1225003379 on 2006-02-22, which is the date when the organization was assigned this unique identifier.
When was the Jill Cannon's information last updated?
The Jill Cannon's information was last updated on 2009-10-23.