Individual
DR. JENNIFER ANNE NIBLEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
796 E PACIFIC DR STE B, AMERICAN FORK, UT 84003-3161
(801) 756-1626
(801) 756-1627
Mailing address
560 W 800 N, OREM, UT 84057-3746
(801) 225-6246
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7429787-2501
UT
Other
Enumeration date
11/11/2010
Last updated
04/29/2014
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