Dr. Mary Louise Cannon, PSYD
Psychologist, Clinical in Rockport, Massachusetts
1649764424- Practice location
- 106R Granite St, Rockport, MA 01966-1241
- Phone
- 978-546-9813
- Fax
- —
- Last updated
- June 15, 2018
Mary Louise Cannon is a Psychologist, Clinical based in Rockport, MA. Mary Louise Cannon practices in Rockport, MA and has the professional credentials of PSYD. The NPI Number for Mary Louise Cannon is 1649764424 and holds a License No. 9767-PY-PR (MA). The current practice location address for Mary Louise Cannon is 106R Granite St, Rockport, MA 01966-1241 and can be reached out via phone at 978-546-9813.
Provider Profile Details
- NPI Number
- 1649764424
- Provider Name
- Mary Louise Cannon
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 106R Granite St, Rockport, MA 01966-1241
- Phone Number
- 978-546-9813
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 15, 2018
- Last Update Date
- June 15, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106R Granite St
Rockport, MA 01966-1241 - City
- Rockport
- State
- Massachusetts
- Zip
- 01966-1241
- Phone Number
- 978-546-9813
Provider Business Mailing Address Details
- Address
- 106R Granite St
Rockport, MA 01966-1241 - City
- Rockport
- State
- MA
- Zip
- 01966-1241
- Phone Number
- 978-546-9813
License Information
- License Number
- 9767-PY-PR
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Mary Louise Cannon, PSYD?
The NPI number of Dr. Mary Louise Cannon, PSYD is 1649764424. It was assigned on June 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Louise Cannon, PSYD?
Dr. Mary Louise Cannon, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9767-PY-PR.
Where does Dr. Mary Louise Cannon, PSYD practice?
The practice location is 106R Granite St, Rockport, MA 01966-1241. The office can be reached at 978-546-9813 (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 1649764424 directly on the NPPES registry website.