Jean S. Cannon, Psy.D., Inc
LBN: Jean S. Cannon, Psy.D., Inc
Jean S. Cannon, Psy.D., Inc is an health care organization with primary practice located at 1681 Crown Ave Suite 11, Lancaster PA 17601-6303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Jean S. Cannon, Psy.D., Inc can be contacted via phone (717) 393-9388, or through Cannon, Jean S. via phone (717) 393-9388.
Contact Information
Primary practice address
1681 Crown Ave Suite 11
Lancaster PA 17601-6303
Phone: (717) 393-9388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1629231261 |
|---|---|
| LBN Legal business name | Jean S. Cannon, Psy.D., Inc |
| DBA Doing business as | |
| Authorized official | Cannon, Jean S. PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Mar 17th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629231261 | NPPES |
| Pennsylvania | Other | 1558528 | GATEWAY MEDICARE ASSURED |
| Pennsylvania | Other | 4101535870 | GATEWAY MEDICARE ASSURED |
| Pennsylvania | MEDICAID | 101535870-0001 | GATEWAY MEDICARE ASSURED |
| Pennsylvania | Other | CA1850139 | GATEWAY MEDICARE ASSURED |
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