Dr Kathryn A Cannon, PHD - Psychologist in Fresno, CA

Dr Kathryn A Cannon, PHD is a Psychologist - Clinical Child & Adolescent based in Fresno, California. Dr Kathryn A Cannon is licensed to practice in California (license number PSY14040) and her current practice location is 1300 W Shaw Ave, Suite 1-b, Fresno, California. She can be reached at her office (for appointments etc.) via phone at (559) 226-6016.

NPI number for Dr Kathryn A Cannon is 1043395759 and her current mailing address is 1300 W Shaw Ave, Suite 1-b, Fresno, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043395759.

Contact Information

Dr Kathryn A Cannon, PHD
1300 W Shaw Ave, Suite 1-b,
Fresno, CA 93711-3712
(559) 226-6016
(559) 226-6017



Healthcare Provider's Profile

Full NameDr Kathryn A Cannon
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location1300 W Shaw Ave, Fresno, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043395759
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kathryn A Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043395759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent PSY14040 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn A Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathryn A Cannon, PHD
1300 W Shaw Ave, Suite 1-b,
Fresno, CA 93711-3712

Ph: (559) 226-6016
Dr Kathryn A Cannon, PHD
1300 W Shaw Ave, Suite 1-b,
Fresno, CA 93711-3712

Ph: (559) 226-6016

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› Verified 4 days ago


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