Cannon, Alicia

Cannon, Alicia is an individual health care provider with primary practice located at 1750 E Fairmount Ave , Baltimore MD 21231-1534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Cannon, Alicia can be contacted via phone (443) 923-4442.

Contact Information

Primary practice address
1750 E Fairmount Ave Baltimore MD 21231-1534
Phone: (443) 923-4442
Fax: (443) 923-4403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810004365 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05106 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004365 Virginia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 05106 Maryland

Profile Details

NPI number 1316236326
LBN Legal business name Cannon, Alicia
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Dec 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers