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Jean S. Cannon, Psy.d., Inc
Clinic/Center in Lancaster, Pennsylvania
NPI 1629231261

Jean S. Cannon, Psy.d., Inc is a Clinic/Center based in Lancaster, PA. Jean S. Cannon, Psy.d., Inc practices in Lancaster, PA. The NPI Number for Jean S. Cannon, Psy.d., Inc is 1629231261 and holds a License No. (Pennsylvania).

The current practice location address for Jean S. Cannon, Psy.d., Inc is 1681 Crown Ave, Lancaster, PA and can be reached out via phone at 717-393-9388.

Location: 1681 Crown Ave, Lancaster, PA, 17601-6303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629231261
Provider Name
Jean S. Cannon, Psy.d., Inc
Credential
Provider Entity Type
Organization
Address
1681 Crown Ave, Lancaster, PA, 17601-6303
Phone Number
717-393-9388
Fax Number
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558528 01 PA GATEWAY MEDICARE ASSURED
4101535870 01 PA CBHNP
101535870-0001 05 PA
CA1850139 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1681 Crown Ave
City
Lancaster
State
Pennsylvania
Zip
17601-6303
Phone Number
717-393-9388
Fax Number
person
Provider Business Mailing Address Details
Address
1681 Crown Ave
City
Lancaster
State
Pennsylvania
Zip
17601-6303
Phone Number
717-393-9388
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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