Individual
DR. KAILY ANNE CANNIZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(312) 363-8527
Mailing address
329 QUEBEC ST # 5, DENVER, CO 80220-6225
(312) 363-8527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0003764
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07951744
—
CO
01
—
P01509294
RR MEDICARE
CO
Enumeration date
08/27/2010
Last updated
03/17/2018
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