Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DEE CANNON, PH.D.
Active Sole ProprietorDR. MICHAEL DEE CANNON, PH.D. is a Counseling Psychologist healthcare provider located in PINE BLUFF, Arkansas. NPI 1477863504 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · PINE BLUFF, AR
Registration Details
- NPI Number
- 1477863504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2010 (15.822292547761 yrs)
- Last Updated
- Oct 7, 2010
- License
-
95-16 E - I (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9629 HIGHWAY 270PINE BLUFF, AR, 716029493Browse AR providers · Browse ZIP 71602
- Phone
- 8704890225
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.