Dr. Kathryn A Cannon
Clinical Child & Adolescent Psychologist
1300 W Shaw Ave Suite 1-B
Fresno
, California 93711-3712
Dr. Kathryn A Cannon
Clinical Child & Adolescent Psychologist
1300 W Shaw Ave Suite 1-B
Fresno
, California 93711-3712
(559) 226-6017
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kathryn A Cannon
- 1300 W Shaw Ave Suite 1-B
- Fresno, CA
- Zip : 93711-3712
- Fax : (559) 226-6017
- Phone : (559) 226-6016
Second Address
- Dr. Kathryn A Cannon
- 1300 W Shaw Ave Suite 1-B
- Fresno, CA
- Zip : 93711-3712
- Fax : (559) 226-6017
- Phone : (559) 226-6016
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY14040 | CA |
National Provider Identifier
| NPI | 1043395759 |
|---|---|
| Provider Name | Dr. Kathryn A Cannon |
| First Address | Fresno, CA 93711-3712 |
| Second Address | Fresno, CA 93711-3712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.