DR. JEAN S CANNON (PSY.D.) – Clinical Psychologist, NPI 1104874445

DR. JEAN S CANNON (PSY.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in Clinical Psychologist. They hold the professional credentials PSY.D.. They hold a License No. PS015850 (PA). The NPI Number for DR. JEAN S CANNON (PSY.D.) is 1104874445

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEAN S CANNON (PSY.D.)
NPI
1104874445
Phone
(717) 393-9388
Address
1681 CROWN AVE
Enumeration Date
5 May 2006
Last Update Date
17 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7173939388
Graduation Year
2004 (22 years ago)
PAC ID
1254341803
Professional Enrollment ID
I20060427000247
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEAN S CANNON (PSY.D.)

  • 1681, Crown Avenue, Clearview, Grandview Heights, Lancaster County, Pennsylvania, 17601, United States

    SUITE 11

    LANCASTER, PA 176016303

    Phone: (717) 393-9388

    Fax: (717) 393-9389

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17601)

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Reviews

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Frequently asked questions

What is the standard ID for DR. JEAN S CANNON (PSY.D.) in the U.S.?
In the U.S., DR. JEAN S CANNON (PSY.D.) is identified by NPI 1104874445.
Quick check: is DR. JEAN S CANNON (PSY.D.) active?
Public NPPES data shows DR. JEAN S CANNON (PSY.D.) with an active NPI status right now.
Which specialty label fits DR. JEAN S CANNON (PSY.D.)?
NPPES ties DR. JEAN S CANNON (PSY.D.) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JEAN S CANNON (PSY.D.) in Lancaster, Pennsylvania?
For routing, start with Lancaster, Pennsylvania for DR. JEAN S CANNON (PSY.D.), then verify phone and hours locally.
Why is information missing for DR. JEAN S CANNON (PSY.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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