Cannon, Kathryn A

Cannon, Kathryn A is an sole proprietor health care provider with primary practice located at 1300 W Shaw Ave Suite 1-B, Fresno CA 93711-3712. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Cannon, Kathryn A can be contacted via phone (559) 226-6016.

Contact Information

Primary practice address
1300 W Shaw Ave Suite 1-B Fresno CA 93711-3712
Phone: (559) 226-6016
Fax: (559) 226-6017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY14040 California

Profile Details

NPI number 1043395759
LBN Legal business name Cannon, Kathryn A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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