Dr. Kevin T Cannon, PHD
Psychologist, Clinical in Andover, Massachusetts
1023509825- Practice location
- 3 Dundee Park Dr Ste 203, Andover, MA 01810-3723
- Phone
- 978-655-2252
- Fax
- 978-296-5594
- Last updated
- February 13, 2025
Kevin T Cannon is a Psychologist, Clinical based in Andover, MA. Kevin T Cannon practices in Andover, MA and has the professional credentials of PHD. The NPI Number for Kevin T Cannon is 1023509825 and holds a License No. 11371 (MA). The current practice location address for Kevin T Cannon is 3 Dundee Park Dr Ste 203, Andover, MA 01810-3723 and can be reached out via phone at 978-655-2252 and via fax at 978-296-5594.
Provider Profile Details
- NPI Number
- 1023509825
- Provider Name
- Kevin T Cannon
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Dundee Park Dr Ste 203, Andover, MA 01810-3723
- Phone Number
- 978-655-2252
- Fax Number
- 978-296-5594
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 29, 2018
- Last Update Date
- February 13, 2025
- Certification Date
- February 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Dundee Park Dr Ste 203
Andover, MA 01810-3723 - City
- Andover
- State
- Massachusetts
- Zip
- 01810-3723
- Phone Number
- 978-655-2252
- Fax Number
- 978-296-5594
Provider Business Mailing Address Details
- Address
- 5 Linden St
Hudson, NH 03051-4781 - City
- Hudson
- State
- NH
- Zip
- 03051-4781
- Phone Number
- 603-438-3523
License Information
- License Number (1)
- 11371
- License State (1)
- MA
- Taxonomy (1)
- Clinical Neuropsychologist · 103G00000X
- License Number (2)
- 11371
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Andover, MA
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Frequently Asked Questions
What is the NPI number of Dr. Kevin T Cannon, PHD?
The NPI number of Dr. Kevin T Cannon, PHD is 1023509825. It was assigned on May 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Kevin T Cannon, PHD?
Dr. Kevin T Cannon, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11371.
Where does Dr. Kevin T Cannon, PHD practice?
The practice location is 3 Dundee Park Dr Ste 203, Andover, MA 01810-3723. The office can be reached at 978-655-2252 (phone) or 978-296-5594 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023509825 directly on the NPPES registry website.