Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BRENDA GAIL CANNON, BA IN PSYCHOLOGY
Active Sole ProprietorMS. BRENDA GAIL CANNON, BA IN PSYCHOLOGY is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in RALEIGH, North Carolina. NPI 1114490877 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · RALEIGH, NC
Registration Details
- NPI Number
- 1114490877
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2019 (7.6392998471219 yrs)
- Last Updated
- Jan 5, 2019
- License
-
MHL-092-898 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3105 VICO TERRALEIGH, NC, 276105951Browse NC providers · Browse ZIP 27610
- Phone
- 9196378831
- Fax
- 9198905578
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Other Intellectual Disabilities Residential Treatment Facility Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| DOROTHY C UMEH | BS,MBA | 1699956417 |
| HENRIETTA JOHNSON | — | 1245121896 |
| LILIAN NGANGA | — | 1891668554 |
| LILIAN ANANABA | 4023 WAKE FOREST RO | 1265393821 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.