Active NPIIndividual providerSole proprietor

Mr. Willard A Gannon

Speech-Language Pathologist, in North Cape May, New Jersey

NPI Number1093830580
Practice location
700 Town Bank RD, North Cape May, NJ 08204-4411
Fax
—
Last updated
July 8, 2007

Willard A. Gannon is a Speech-Language Pathologist, based in North Cape May, NJ. Willard A. Gannon practices in North Cape May, NJ. The NPI Number for Willard A. Gannon is 1093830580 and holds a License No. 41YSOO393000 (NJ). The current practice location address for Willard A. Gannon is 700 Town Bank RD, North Cape May, NJ 08204-4411 and can be reached out via phone at 609-898-8899.

Provider Profile Details

NPI Number
1093830580
Provider Name
Willard A. Gannon
Provider Entity Type
Individual
Gender
Male
Address
700 Town Bank RD, North Cape May, NJ 08204-4411
Phone Number
609-898-8899
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Town Bank RD
North Cape May, NJ 08204-4411
Zip
08204-4411
Phone Number
609-898-8899
North Cape May, NJ 08204Get directions →

Provider Business Mailing Address Details

Address
221 Pennsylvania Ave
Villas, NJ 08251-2535
City
Villas
State
NJ
Zip
08251-2535
Phone Number
609-886-5039

License Information

License Number
41YSOO393000
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Willard A Gannon?

The NPI number of Mr. Willard A Gannon is 1093830580. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Willard A Gannon?

Mr. Willard A Gannon is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YSOO393000.

Where does Mr. Willard A Gannon practice?

The practice location is 700 Town Bank RD, North Cape May, NJ 08204-4411. The office can be reached at 609-898-8899 (phone).

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 1093830580 directly on the NPPES registry website.

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