Individual
MR. JOHN GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. F.P.P.R.
Contact information
Practice address
2640 AQUETONG RD, NEW HOPE, PA 18938-5602
(215) 862-1302
Mailing address
2640 AQUETONG RD, NEW HOPE, PA 18938-5602
(215) 862-1302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006769L
PA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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