Individual
DR. SHARON S CANNON
Active
Individual
DR. SHARON S CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
318
NE
103TC0700X
Clinical Psychologist
Primary
04654
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144
MIDLANDS CHOICE
—
01
—
6135835
UNITED BEHAVIORAL HEALTH
—
01
—
8130
BCBS
NE
Enumeration date
12/29/2006
Last updated
11/16/2022
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