Anthony Wayne Cannon in Fayetteville - Psychologist
Anthony Wayne Cannon - NPI 1811036205
Anthony Wayne Cannon is a Psychologist in Fayetteville, North Carolina. Anthony Wayne Cannon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Anthony Wayne Cannon is 1811036205. The last update date is 2007-07-08.
Anthony Wayne Cannon's current location address is 1724 Roxie Ave, Fayetteville, North Carolina. You can contact this provider via phone number 9102226003. The mailing address for Anthony Wayne Cannon is 1724 Roxie Ave, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Wayne Cannon |
|---|---|
| Address | 1724 Roxie Ave, Fayetteville, North Carolina |
| Phone Number | 9102226003 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1811036205 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1724 Roxie Ave |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283041623 |
| Phone Number | 9102226003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1785 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Anthony Wayne Cannon by the Centers for Medicare & Medicaid Services?
The Anthony Wayne Cannon has been issued the NPI (National Provider Identifier) 1811036205, which 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 Anthony Wayne Cannon is geographically located?
The Anthony Wayne Cannon is physically situated at the following location: 1724 Roxie Ave, Fayetteville, NC, 283041623.
What is the Anthony Wayne Cannon's area of specialization and corresponding taxonomy classification?
The Anthony Wayne Cannon's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did Anthony Wayne Cannon receive its 1811036205 assignment from the Centers for Medicare & Medicaid Services?
The Anthony Wayne Cannon was assigned its 1811036205 on 2007-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Anthony Wayne Cannon most recently updated or revised?
The information pertaining to Anthony Wayne Cannon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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