Michael Dee Cannon, PH.D.
Counseling Psychologist · Pine Bluff, AR
Practice location
9629 Highway 270Pine Bluff, AR 71602-9493
- Phone
- (870) 489-0225
NPI record
- NPI
- 1477863504
- Entity type
- Individual (Type 1)
- Enumeration date
- October 7, 2010
- Last updated
- October 7, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counseling Psychologist Primary | 103TC1900X |
95-16 E - I | AR |
About Dr. Cannon
Michael Dee Cannon, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Counseling Psychologist (code 103TC1900X). The practice location is 9629 Highway 270, Pine Bluff, AR 71602-9493. The NPI number 1477863504 was assigned on October 7, 2010 and the record was last updated on October 7, 2010.
Dr. Cannon lists a license in the registry: #95-16 E - I (AR) for Counseling Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Dee Cannon, PH.D.?
The NPI number is 1477863504.
What is the phone number of Dr. Cannon?
The phone number listed for the practice location is (870) 489-0225.
Where is Dr. Cannon located?
9629 Highway 270, Pine Bluff, AR 71602-9493.
What is the taxonomy code for Dr. Cannon?
The primary taxonomy code is 103TC1900X – Counseling Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.