Active NPIIndividual providerSole proprietor

Barbara K Gannon, PSYD

Psychologist, Clinical in Gloucester, Massachusetts

NPI Number1801406103
Practice location
30 Western Ave Ste 209, Gloucester, MA 01930-3664
Fax
—
Last updated
August 3, 2020

Barbara Kellogg Gannon is a Psychologist, Clinical based in Gloucester, MA. Barbara Kellogg Gannon practices in Gloucester, MA and has the professional credentials of PSYD. The NPI Number for Barbara Kellogg Gannon is 1801406103 and holds a License No. 7950-PY-PR (MA). The current practice location address for Barbara Kellogg Gannon is 30 Western Ave Ste 209, Gloucester, MA 01930-3664 and can be reached out via phone at 978-290-2539.

Provider Profile Details

NPI Number
1801406103
Provider Name
Barbara Kellogg Gannon
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
30 Western Ave Ste 209, Gloucester, MA 01930-3664
Phone Number
978-290-2539
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2020
Last Update Date
August 3, 2020
Certification Date
August 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Western Ave Ste 209
Gloucester, MA 01930-3664
Zip
01930-3664
Phone Number
978-290-2539
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
30 Western Ave Ste 209
Gloucester, MA 01930-3664
City
Gloucester
State
MA
Zip
01930-3664
Phone Number
978-290-2539

License Information

License Number
7950-PY-PR
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Barbara K Gannon, PSYD?

The NPI number of Barbara K Gannon, PSYD is 1801406103. It was assigned on August 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Barbara K Gannon, PSYD?

Barbara K Gannon, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7950-PY-PR.

Where does Barbara K Gannon, PSYD practice?

The practice location is 30 Western Ave Ste 209, Gloucester, MA 01930-3664. The office can be reached at 978-290-2539 (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 1801406103 directly on the NPPES registry website.

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