Florence Lilian Cannon in Tucker - Speech-language Pathologist
Florence Lilian Cannon - NPI 1104992304
Florence Lilian Cannon is a Speech-language Pathologist in Tucker, Georgia. Florence Lilian Cannon practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Florence Lilian Cannon is 1104992304. The last update date is 2021-04-24.
Florence Lilian Cannon's current location address is 3774 Lavista Rd Ste 200, Tucker, Georgia. You can contact this provider via phone number 4044779400. The mailing address for Florence Lilian Cannon is 3774 Lavista Rd Ste 200, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Florence Lilian Cannon |
|---|---|
| Address | 3774 Lavista Rd Ste 200, Tucker, Georgia |
| Phone Number | 4044779400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS CCC SLP |
NPI Number Detail
| NPI Number | 1104992304 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2021-04-24 |
Provider Mailing Address Detail
| Address | 3774 Lavista Rd Ste 200 |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300845618 |
| Phone Number | 4044779400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP4078 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique identification code assigned to Florence Lilian Cannon by the Centers for Medicare & Medicaid Services?
The Florence Lilian Cannon has been issued the NPI (National Provider Identifier) 1104992304. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Florence Lilian Cannon is physically located?
The Florence Lilian Cannon is physically situated at the following address: 3774 Lavista Rd Ste 200, Tucker, GA, 300845618.
What is the Florence Lilian Cannon's area of specialization and corresponding taxonomy classification?
The Florence Lilian Cannon's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did the Florence Lilian Cannon receive its 1104992304?
The Florence Lilian Cannon was issued its 1104992304 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Florence Lilian Cannon most recently updated or revised?
The details related to Florence Lilian Cannon, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-24.