Individual
DR. KATHRYN A CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1300 W SHAW AVE, SUITE 1-B, FRESNO, CA 93711-3712
(559) 226-6016
(559) 226-6017
Mailing address
1300 W SHAW AVE, SUITE 1-B, FRESNO, CA 93711-3712
(559) 226-6016
(559) 226-6017
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY14040
CA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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