Bryan Kevin Gannon in Wheat Ridge - Clinical
Bryan Kevin Gannon - NPI 1558415059
Bryan Kevin Gannon is a Clinical in Wheat Ridge, Colorado. Bryan Kevin Gannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bryan Kevin Gannon is 1558415059. The last update date is 2007-07-08.
Bryan Kevin Gannon's current location address is 4851 Independence St, Wheat Ridge, Colorado. You can contact this provider via phone number 4104325400. The mailing address for Bryan Kevin Gannon is 4851 Independence St, Wheat Ridge, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Kevin Gannon |
|---|---|
| Address | 4851 Independence St, Wheat Ridge, Colorado |
| Phone Number | 4104325400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558415059 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4851 Independence St |
|---|---|
| City | Wheat Ridge |
| State | Colorado (CO) |
| Post Code | 800336715 |
| Phone Number | 4104325400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 551 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Bryan Kevin Gannon by the Centers for Medicare & Medicaid Services?
The Bryan Kevin Gannon has been assigned the NPI (National Provider Identifier) 1558415059 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bryan Kevin Gannon's facilities are situated?
The facilities of Bryan Kevin Gannon are physically located at the following address: 4851 Independence St, Wheat Ridge, CO, 800336715.
What is Bryan Kevin Gannon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bryan Kevin Gannon is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Bryan Kevin Gannon receive its 1558415059 assignment?
The Bryan Kevin Gannon was assigned its 1558415059 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Bryan Kevin Gannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Kevin Gannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN