Individual
JAMES CANNICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
909 W MAGNOLIA AVE, SUITE 20, FT WORTH, TX 76104-4571
(817) 925-6594
(888) 802-5455
Mailing address
909 W MAGNOLIA AVE, SUITE 20, FT WORTH, TX 76104-4571
(817) 925-6594
(888) 802-5455
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
22101
TX
103T00000X
Psychologist
22101
TX
Other
Enumeration date
09/27/2006
Last updated
04/06/2012
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