CAITLYN ALISON GANNON


Address: 49 Larch Ln, Centerville, MA 02632-2883
Phone: 7749942555

CAITLYN ALISON GANNON (NPI# 1619522687) 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) 1619522687
Entity Type Individual
Full Name CAITLYN ALISON GANNON
Practice Address 49 Larch Ln
Centerville
MA 02632-2883
Practice Telephone 7749942555
Mailing Telephone 7749942555
Enumeration Date 2019-08-07
Last Update Date 2019-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
2043-SP-SA MA Speech, Language and Hearing Service Providers

Office Location

Street Address 49 LARCH LN
City CENTERVILLE
State MA
Zip Code 02632-2883

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NPI Name Taxonomy Address Enumeration
1144702937 Samuel Rosier Physical Therapist 1600 Falmouth Rd Ste 34, Centerville, MA 02632 2018-08-29
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1790220838 Jessie Lacasse Social Worker 88 West Main Street, Centerville, MA 02632 2016-12-28
1235524323 Allison M. Friberg Physician Assistant 1185b Falmouth Road, Centerville, MA 02632 2015-04-06
1124136361 Dr. Auger D.d.s. Dentist 1480 Falmouth Road, Centetrville, MA 02632 2006-08-28
1457467888 Arthur Logan Bence Social Worker 161 Harbor Hills Road, Centerville, MA 02632 2006-08-21
1700999257 Judith Begelfer Sonner Social Worker 1550 Falmouth Rd, Centerville, MA 02632 2006-08-17
1942299185 Cape Regency Ma Snf LLC Skilled Nursing Facility 120 South Main Street, Centerville, MA 02632 2005-10-20
1831514405 Thomas Jared Butler Counselor 1185 Falmouth Rd, Centerville, MA 02632 2014-02-19
1609212620 James Millard Girard Counselor 183 Shootflying Hill Rd, Centeviller, Centerville, MA 02632-1439 2013-05-16
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487289203 Karlie Rose Keating Specialist/Technologist 60 Driftwood Dr, Bridgewater, MA 02324-1100 2020-03-12
1629636931 Lydia Mcdaniel Specialist/Technologist 140 Gould St Ste 1, Needham, MA 02494-2306 2019-06-01
1407362940 Rachel Dupuis Specialist/Technologist 100 Cummings Ctr Ste 135c, Beverly, MA 01915-6263 2017-12-20
1518487818 Dana Shepherd Specialist/Technologist 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 2017-06-27
1922556620 Emily Picardi Specialist/Technologist 30 Bernard Cir, Abington, MA 02351-1290 2016-09-12
1780130880 Jennifer Corcoran Specialist/Technologist 2 Marchand Way, Norton, MA 02766-1844 2016-08-29
1548713159 Erica Mankowsky Specialist/Technologist 60 Crescent St Apt 1, Greenfield, MA 01301-3012 2016-07-31
1174993893 Jordan Rennell Specialist/Technologist 132 Barth Street, North Adams, MA 01247 2015-10-07
1174926885 Kerry Donovan Specialist/Technologist 12 Bainbridge Rd, Worcester, MA 01602-2212 2014-10-08
1326441999 Deena Desmarais Specialist/Technologist 45 Greenfield Rd, Westport, MA 02790-4826 2014-09-26
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Competitor

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City CENTERVILLE
Zip Code 02632

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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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