DR. MICHAEL DEE CANNON


Address: 9629 Highway 270, Pine Bluff, AR 71602-9493
Phone: 8704890225

DR. MICHAEL DEE CANNON (NPI# 1477863504) 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) 1477863504
Entity Type Individual
Full Name DR. MICHAEL DEE CANNON
Credential PH.D.
Practice Address 9629 Highway 270
Pine Bluff
AR 71602-9493
Practice Telephone 8704890225
Mailing Telephone 8704890225
Enumeration Date 2010-10-07
Last Update Date 2010-10-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
95-16 E - I AR Behavioral Health & Social Service Providers

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1811596232 Michael Kollin Cannon Physical Therapist 5107 Beatline Rd Ste 300, Long Beach, MS 39560-3874 2020-10-19
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1487036786 Michael Cannon Physical Therapist 11219 Potranco Rd, Building A Suite 110, San Antonio, TX 78253-5848 2015-06-23
1922494673 Michael Cannon Podiatrist 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 2015-04-09
1154348761 Michael E Cannon Family Medicine 3009 N Ballas Rd, Suite 100b, Saint Louis, MO 63131-2322 2006-07-17

Office Location

Street Address 9629 HIGHWAY 270
City PINE BLUFF
State AR
Zip Code 71602-9493

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265050447 Bridget Furlong Occupational Therapist 2226 Barncy Lane, White Hall, AR 71602 2020-07-14
1609399963 Interventional Surgery Institute of White Hall LLC Clinic/Center 7211 Dollarway Road, White Hall, AR 71602 2017-07-19
1679935761 Pain Treatment Centers of America, Pllc Durable Medical Equipment & Medical Supplies 7211 Dollarway Rd, White Hall, AR 71602 2016-03-28
1326450446 Rafeek Hegazy Anesthesiology 202 Frankie Ln, White Hall, AR 71602 2014-05-22
1275873515 Craig Paul Anderson Preventive Medicine 13-020 Kabrich Circle, Pine Bluff, AR 71602 2013-02-24
1124258553 Shellia Anne Kornegay Nurse Practitioner 1515 West 42nd Street, Pine Bluff, AR 71602 2009-07-20
1275789109 Sarah Allison Rushing Speech-Language Pathologist 1020 West Holland Avenue, White Hall, AR 71602 2008-08-12
1245438852 White Hall School District Local Education Agency (LEA) 1020 West Holland, White Hall, AR 71602 2007-07-05
1972622652 Dewey Charles Scarbrough Physician Assistant 109 Frankie Lane, White Hall, AR 71602 2007-03-27
1427126135 Donna D Massey Dentist 7215 Sheridan Road, White Hall, AR 71602 2006-12-01
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043717440 Insight Psychological Services Pllc Psychologist 4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191 2018-04-11
1457875882 Glenn Gerald Ryals Psychologist 712 W 3rd St Ste 100, Little Rock, AR 72201-2221 2017-07-27
1861925968 Life Trek, LLC Psychologist 21 Sycamore St, Cabot, AR 72023-3714 2017-04-05
1740634435 Crystal Susan Rofkahr Psychologist 26 E Meadow St Ste 3, Fayetteville, AR 72701 2016-04-19
1245590702 Andrew Douglas Reichert Psychologist 3214 Nw Avignon Way, # 2, Bentonville, AR 72712-3916 2012-05-17
1669707832 Charles C Lampton Psychologist 2725 Orchard Hill Rd, Siloam Springs, AR 72761-8340 2009-10-06
1174752364 Teresa D Henderson Psychologist 3117 Polk Road 44, Mena, AR 71953-3891 2009-07-08
1407000516 Hillary Hunt Psychologist 305 South Palm, Little Rock, AR 72205 2008-11-17
1437300761 Rosemary Burns Psychologist 806 E 22nd St, Russellville, AR 72802-6937 2008-10-06
1740437383 Ladeana Dawn Bell Psychologist 1012 Autumn Rd Ste 3, Little Rock, AR 72211-3763 2008-08-26
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Competitor

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City PINE BLUFF
Zip Code 71602

Improve Information

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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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