DR. JUDITH CANNON (NPI# 1790996122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790996122 |
| Entity Type | Individual |
| Full Name | DR. JUDITH CANNON |
| Credential | PHD |
| Practice Address |
1409 S. Lamar St. #416 Dallas TX 75215-1871 |
| Mailing Address |
1409 S. Lamar St. #416 Dallas TX 75215 |
| Practice Telephone | 2144280322 |
| Mailing Telephone | 2144280322 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1918 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356564017 | Judith Ann Cannon | Registered Nurse | 1638 Cliff Dr, Edgewater, MD 21037-4924 | 2007-04-11 |
| 1477886679 | Judith Ann Cannon | Social Worker | 813-1 Chesapeake Drive, Cambridge, MD 21613-9401 | 2009-09-08 |
| Street Address |
1409 S. LAMAR ST. #416 |
| City | DALLAS |
| State | TX |
| Zip Code | 75215-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
| 1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
| 1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
| 1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
| 1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
| 1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
| 1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
| 1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
| Find all providers in zip 75215 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494752 | Theokratia Psychotherapy Pllc | Marriage & Family Therapist | 1910 Pacific Ave Ste 14225, Dallas, TX 75201-4773 | 2020-10-13 |
| 1780281089 | Patricia Ruth Kuenstler | Marriage & Family Therapist | 10544 Cox Ln, Dallas, TX 75229-5209 | 2020-10-08 |
| 1699381657 | Deborah Holt Family Therapy Pllc | Marriage & Family Therapist | 12720 Hillcrest Rd Ste 105, Dallas, TX 75230-7120 | 2020-09-16 |
| 1043823354 | Marc Kitano | Marriage & Family Therapist | 17110 Dallas Pkwy Ste 290, Dallas, TX 75248-1115 | 2020-08-26 |
| 1346889474 | Samanta Hope Jaffe | Marriage & Family Therapist | 1935 Medical District Dr # B5238, Dallas, TX 75235-7701 | 2020-01-06 |
| 1952948192 | Ngoc Turner | Marriage & Family Therapist | 6750 Hillcrest Plaza Dr Ste 224, Dallas, TX 75230-1441 | 2019-12-06 |
| 1992349039 | Trisha Seidel | Marriage & Family Therapist | 6641 Gaston Ave, Dallas, TX 75214-4027 | 2019-11-01 |
| 1538714423 | Artaya Brown | Marriage & Family Therapist | 9330 Lyndon B Johnson Fwy # 1250, Dallas, TX 75243-3436 | 2019-08-07 |
| 1801455415 | Crystal Rose Arriola | Marriage & Family Therapist | 2200 Dennison Street, Dallas, TX 75212 | 2019-06-07 |
| 1225593023 | Kelly Smartt | Marriage & Family Therapist | 5220 Spring Valley Rd Ste 122, Dallas, TX 75254-2513 | 2019-02-05 |
| Find all providers in DALLAS | ||||
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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.