Cannon Psychological Llc

LBN: Cannon Psychological Llc
Cannon Psychological Llc is an health care organization with primary practice located at 12058 San Jose Blvd Ste 202 , Jacksonville FL 32223-8669. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Cannon Psychological Llc can be contacted via phone (043) 738-2999, or through Cannon, Brittany via phone (352) 339-6751.

Contact Information

Primary practice address
12058 San Jose Blvd Ste 202 Jacksonville FL 32223-8669
Phone: (043) 738-2999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Brittany PHD
Phone: (352) 339-6751

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1134976061
LBN Legal business name Cannon Psychological Llc
DBA Doing business as
Authorized official Cannon, Brittany PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2024
Last updated May 1st, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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