Kathryn A Cannon in Fresno - Clinical Child & Adolescent

Kathryn A Cannon - NPI 1043395759

Kathryn A Cannon is a Clinical Child & Adolescent in Fresno, California. Kathryn A Cannon practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kathryn A Cannon is 1043395759. The last update date is 2007-07-08.

Kathryn A Cannon's current location address is 1300 W Shaw Ave, Fresno, California. You can contact this provider via phone number 5592266016 and fax number 5592266017. The mailing address for Kathryn A Cannon is 1300 W Shaw Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn A Cannon
Address 1300 W Shaw Ave, Fresno, California
Phone Number 5592266016
Fax Number 5592266017
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1043395759
Provider Enumeration Date 2006-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1300 W Shaw Ave
City Fresno
State California (CA)
Post Code 937113712
Phone Number 5592266016
Fax Number 5592266017

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PSY14040
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Kathryn A Cannon

What is the unique 10-digit identifier code issued to Kathryn A Cannon by the Centers for Medicare & Medicaid Services?

The Kathryn A Cannon has been assigned the NPI (National Provider Identifier) 1043395759 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Kathryn A Cannon's physical address?

The Kathryn A Cannon is physically located at 1300 W Shaw Ave, in the city of Fresno, CA, with the postal code 937113712.

What is the area of specialization for Kathryn A Cannon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kathryn A Cannon is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

When did Kathryn A Cannon receive its 1043395759 assignment?

The Kathryn A Cannon was assigned its 1043395759 on 2006-10-25, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Kathryn A Cannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kathryn A Cannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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