Doctor Name: | DR. JO-ANN M. CANNON |
NPI Number: | 1154513828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 2866 |
Business Practice Address: | 4551 Route 42 Turnersville, NJ - 080121751 |
Business Phone Number: | 8567287626 |
Business Fax Number: | |
Mailing Address: | 5 Dressage Dr, SEWELL |
State: | NJ |
Postal Code: | 080802436 |
Phone Number: | 8565894370 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |