Individual
DR. LAURELYN DEE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4618 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1005
(719) 596-1058
Mailing address
4618 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1005
(719) 596-1058
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LPC #196
CO
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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