DR. MARY LOUISE CANNON (NPI# 1649764424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649764424 |
| Entity Type | Individual |
| Full Name | DR. MARY LOUISE CANNON |
| Credential | PSYD |
| Practice Address |
106r Granite St Rockport MA 01966-1241 |
| Practice Telephone | 9785469813 |
| Mailing Telephone | 9785469813 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9767-PY-PR | MA | Behavioral Health & Social Service Providers |
| Street Address |
106R GRANITE ST |
| City | ROCKPORT |
| State | MA |
| Zip Code | 01966-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962654079 | Barbara Joyce Kaplan | Speech-Language Pathologist | 4 Ocean Ave., Rockport, MA 01966 | 2008-10-21 |
| 1346422144 | Anita Pandolfe Ruchman | Registered Nurse | 9 High St Ct, Rockport, MA 01966 | 2007-12-04 |
| 1104945310 | Nancy Keefe Carbonneau | Physical Therapist | 45 Main Street Apt 7, Rockport, MA 01966 | 2007-03-28 |
| 1922194273 | Peter Oliver Cameron-gilsey | Social Worker | 5 Pioneer Circle, Rockport, MA 01966 | 2006-10-05 |
| 1497763924 | Lisbeth Jeanne Costa | Counselor | 4 Linwood Avenue, Rockport, MA 01966 | 2006-08-03 |
| 1538353065 | Patricia Vesey-mcgrew | Psychoanalyst | 85 Phillips Ave, Rockport, MA 01966-1037 | 2007-08-28 |
| 1760093157 | Laura Victoria Vanderburgh | Registered Nurse | 8 Gale Ave, Rockport, MA 01966-1134 | 2020-08-11 |
| 1609925049 | Joanna Quincy Duda | Registered Nurse | 24 Landmark Ln, Rockport, MA 01966-1239 | 2007-01-08 |
| 1336243807 | Victoria B. Knowlton | Nurse Practitioner | 42 Curtis St, Rockport, MA 01966-1242 | 2006-09-12 |
| 1639522634 | Home Care Lactation LLC | In Home Supportive Care | 1 Bruno Way, Rockport, MA 01966-1270 | 2016-07-14 |
| Find all providers in zip 01966 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669787586 | C. Lee Goss | Psychologist | 20 Granite Way Ste A, Rockport, ME 04856-5747 | 2010-08-16 |
| 1699716316 | Mary E. Posner | Psychologist | 203 Elm St, Rockport, IN 47635-1409 | 2006-06-10 |
| 1306237722 | Jennifer E Heidler-gary | Psychologist | 731 Commercial St, Rockport, ME 04856-4254 | 2015-02-06 |
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| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
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| 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.