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Contact Information

MICHAEL D CANNON, PhD
9629 HIGHWAY 270
PINE BLUFF, AR71602-9493
 Phone: 870-489-0225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL D CANNON · (Male)

NPI # 1477863504
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/07/2010
Last updated 10/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 95-16 E - I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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