# CANNON PSYCHOLOGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cannon Psychological Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134976061
- **Authorized official:** DR. BRITTANY CANNON PHD (PSYCHOLOGIST/OWNER)
- **Authorized official phone:** (352) 339-6751

## Contact information

- **Practice address:** 12058 SAN JOSE BLVD STE 202, JACKSONVILLE, FL 32223-8669
- **Practice address phone:** (043) 738-2999
- **Mailing address:** 3075 ORANGE PICKER RD, JACKSONVILLE, FL 32223-0882
- **Mailing address phone:** (352) 339-6751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 05/01/2024