Organization
CANNON PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA CANNON PH.D. (CLINICAL PSYCHOLOGIST)
(858) 367-3368
Entity
Organization
Contact information
Practice address
37650 NORTHFORK RD, NEHALEM, OR 97131-9685
(858) 699-4918
Mailing address
3095 HIGHWAY 101 N., SUITE 11 #1002, SEASIDE, OR 97138
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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