Lookup NPI Numbers from the NPI Registry
NPI Profile for TUCKER C CANNON in ALTADENA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI # | 1205969623 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 03/14/2007 | |
| Last updated | 11/02/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TUCKER C CANNON
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TUCKER C CANNON, LCSW