Jean S. Cannon, Psy.D., Inc in Lancaster - Clinic/center
Jean S. Cannon, Psy.D., Inc - NPI 1629231261
Jean S. Cannon, Psy.D., Inc is a Clinic/center in Lancaster, Pennsylvania. Jean S. Cannon, Psy.D., Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jean S. Cannon, Psy.D., Inc is 1629231261. The last update date is 2011-03-17.
Jean S. Cannon, Psy.D., Inc's current location address is 1681 Crown Ave, Lancaster, Pennsylvania. You can contact this provider via phone number 7173939388. The mailing address for Jean S. Cannon, Psy.D., Inc is 1681 Crown Ave, Lancaster, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jean S. Cannon, Psy.D., Inc |
|---|---|
| Address | 1681 Crown Ave, Lancaster, Pennsylvania |
| Phone Number | 7173939388 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cannon S. Jean |
| Credentials | PSY.D. |
| Telephone Number | 7173939388 |
NPI Number Detail
| NPI Number | 1629231261 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2011-03-17 |
Provider Mailing Address Detail
| Address | 1681 Crown Ave |
|---|---|
| City | Lancaster |
| State | Pennsylvania (PA) |
| Post Code | 176016303 |
| Phone Number | 7173939388 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1558528 | PA | GATEWAY MEDICARE ASSURED | |
| 4101535870 | PA | CBHNP | |
| 101535870-0001 | PA | -- | |
| CA1850139 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
What is the Jean S. Cannon, Psy.D., Inc's unique identification number?
The Jean S. Cannon, Psy.D., Inc has been assigned the NPI (National Provider Identifier) Number 1629231261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jean S. Cannon, Psy.D., Inc?
The Jean S. Cannon, Psy.D., Inc is physically situated at 1681 Crown Ave, in the city of Lancaster, state of PA, with the postal code 176016303.
What is Jean S. Cannon, Psy.D., Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jean S. Cannon, Psy.D., Inc is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
When did Jean S. Cannon, Psy.D., Inc receive its 1629231261 assignment?
The Jean S. Cannon, Psy.D., Inc was assigned its 1629231261 on 2008-07-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jean S. Cannon, Psy.D., Inc most recently updated or revised?
The information pertaining to Jean S. Cannon, Psy.D., Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-17.
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