Cannon, Carrie Ella
Cannon, Carrie Ella is an sole proprietor health care provider with primary practice located at 1615 Martin Luther King Blvd , Malvern AR 72104-2233. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cannon, Carrie Ella can be contacted via phone (501) 332-5236.Contact Information
Primary practice address
1615 Martin Luther King Blvd
Malvern AR 72104-2233
Phone: (501) 332-5236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3455-C | Arkansas |
Profile Details
| NPI number | 1154579977 |
|---|---|
| LBN Legal business name | Cannon, Carrie Ella |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2008 |
| Last updated | Sep 30th, 2019 - about 5 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.
Popular Providers
-
Crain, Kristan
1628 E Page Ave , Malvern AR 72104-4524 -
Hollingshead, Alexandria L
1615 Martin Luther King Blvd , Malvern AR 72104-2233 -
Williams, Birkes
829 Martin Luther King Blvd , Malvern AR 72104-2637 -
Draper, Sonja Stewart
1628 E Page Ave , Malvern AR 72104-4524 -
Henry, Romulus
829 Halbert Street , Malvern AR 72104 -
Jenkins, Tisha R
302 S Main St , Malvern AR 72104-3737 -
Parker, Jeff
829 Halbert St , Malvern AR 72104-2607 -
Price, Coy
1628 E Page Ave , Malvern AR 72104-4524