Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY DALE CANNON, PH.D.
Active Sole ProprietorMARY DALE CANNON, PH.D. is a Clinical Psychologist healthcare provider located in CLEVELAND, Tennessee. NPI 1477883668 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CLEVELAND, TN
Registration Details
- NPI Number
- 1477883668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2010 (16.44548198615 yrs)
- Last Updated
- Oct 30, 2017
- Licenses
-
P2889 (TN)2889 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2775 EXECUTIVE PARK NWSUITE 1CLEVELAND, TN, 373122763Browse TN providers · Browse ZIP 37312
- Phone
- 4234799652
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in CLEVELAND, TN
| Name | Credential | NPI |
|---|---|---|
| DR. VIJAI P. SHARMA | PH.D. | 1578549531 |
| MR. BENJAMIN JAMES BILLER | M.S. S.P.E. | 1861556482 |
| DR. JAMES TREVOR MILLIRON | PH.D. | 1124182548 |
| DR. OWEN ARTHUR BILLER | ED.D. FICPP | 1689730384 |
| JUNE E YOUNG | PSY.D. | 1598970691 |
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.