Individual
KENT WESLEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-5636
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-5636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1046
NE
Other
Enumeration date
02/22/2024
Last updated
07/23/2025
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