DR. MARIEL SMITH CANNADY


Address: 4407 Pack Saddle Pass, Austin, TX 78745-1623
Phone: 5128989044

DR. MARIEL SMITH CANNADY (NPI# 1063921708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063921708
Entity Type Individual
Full Name DR. MARIEL SMITH CANNADY
Credential PSYD
Practice Address 4407 Pack Saddle Pass
Austin
TX 78745-1623
Practice Telephone 5128989044
Mailing Telephone 8049283701
Enumeration Date 2017-09-26
Last Update Date 2018-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
37676 TX Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
248 Addie Roy Rd, Austin, TX 787464131 5128911900 5128577679

Office Location

Street Address 4407 PACK SADDLE PASS
City AUSTIN
State TX
Zip Code 78745-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255943890 Tracey Lane Demers Behavioral Analyst 4407 Pack Saddle Pass, Austin, TX 78745-1623 2020-08-17
1255982179 Ashley Marie Flanders Behavioral Analyst 4407 Pack Saddle Pass, Austin, TX 78745-1623 2019-09-23
1518524271 Karah Herrmann Behavioral Analyst 4407 Pack Saddle Pass, Austin, TX 78745-1623 2019-05-28
1154882488 Gabriel Gafner Behavioral Analyst 4407 Pack Saddle Pass, Austin, TX 78745-1623 2019-03-28
1801360581 Kirsten Brooks Behavioral Analyst 4407 Pack Saddle Pass, Austin, TX 78745-1623 2019-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023617511 Samantha Lynne Weston Speech-Language Pathologist 8515 Brodie Lane, Apt 2011, Austin, TX 78745 2020-10-26
1275172686 Nithphaphone Tracy Bounsing Registered Nurse 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 2020-01-02
1225685712 Integrative Medical Group of Texas General Practice 6905 West Gate Blvd. Ste A, Austin, TX 78745 2019-08-20
1962971499 Kimberly Angela Mancini Social Worker 5015 South Ih 35 Frontage Road, Austin, TX 78745 2018-11-14
1093223885 Emma Rose Marek Speech-Language Pathologist 2700 Norfolk Drive, Austin, TX 78745 2018-01-16
1528586690 Ashley Ellison Social Worker 4201 South Congress, Austin, TX 78745 2017-09-08
1134666761 Carey Sebera Counselor 2812 Goldbridge Dr, Austin, TX 78745 2017-01-20
1932644507 Maya Conlon Social Worker 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 2017-01-05
1285189134 512 Physical Therapy and Golf Performance Center Physical Therapist 6800 Westgate Blvd, Suite 117, Austin, TX 78745 2016-08-22
1326401803 Chris Winkley Physical Therapist 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 2016-04-01
Find all providers in zip 78745

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241598 Mellissa Tong Psychologist 113 W 33rd St, Austin, TX 78705-2313 2020-07-01
1235754201 Amanda Max Hilberg Psychologist 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 2020-06-15
1427682871 Charnel Hollier Psychologist 1500 W 38th St Ste 31, Austin, TX 78731-6318 2020-02-25
1053950329 Erin G Underbrink Newins Psychologist 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 2020-01-03
1629553953 Pulverman Psychological Services, Pllc Psychologist 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 2018-10-02
1770079071 Donna Carpenter Psychologist 3724 Jefferson St Ste 200, Austin, TX 78731-6221 2018-07-10
1942790068 Julia Jeannette Zenteno-montez Psychologist 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 2018-05-14
1558861583 Dr. Jillian Racine Psychologist 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 2018-02-16
1386161750 Jessica A Peller Psychologist 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 2017-08-27
1396261913 Bryn Elizabeth Schiele Moore Psychologist 3660 Stoneridge Rd., F-101, Austin, TX 78746 2017-08-15
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78745

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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