Individual
DR. CHRISTOPHER CANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
(859) 375-9202
Mailing address
4230 GLENS CREEK RD, WILLISBURG, KY 40078-8168
(859) 797-6413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-00837
KY
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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