FLORENCE LILIAN CANNON (MS CCC SLP) – Speech-Language Pathologist, NPI 1104992304

FLORENCE LILIAN CANNON (MS CCC SLP) is a healthcare provider. based in Tucker, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC SLP. They hold a License No. SLP4078 (AZ). The NPI Number for FLORENCE LILIAN CANNON (MS CCC SLP) is 1104992304

Main info

Female
Sole Proprietor
Name
FLORENCE LILIAN CANNON (MS CCC SLP)
NPI
1104992304
Phone
(404) 477-9400
Address
3756 Lavista Rd Ste 104
Enumeration Date
28 November 2006
Last Update Date
24 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for FLORENCE LILIAN CANNON (MS CCC SLP)

  • 3756 Lavista Rd Ste 104

    Tucker, GA 300845621

    Phone: (404) 477-9400

    Type: Location

  • 3774 LAVISTA RD STE 200

    TUCKER, GA 300845618

    Phone: (404) 477-9400

    Type: Mailing

  • Lavista Road, Tucker, DeKalb County, Georgia, 30084, United States

    TUCKER, GA 300845621

    Phone: (404) 477-9400

    Type: Mailing

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

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

Insurance plans in this area (ZIP 30084)

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Frequently asked questions

How do I look up FLORENCE LILIAN CANNON (MS CCC SLP) by NPI?
Use NPI 1104992304 when you need to reference FLORENCE LILIAN CANNON (MS CCC SLP) in forms, claims, or directories.
Is FLORENCE LILIAN CANNON (MS CCC SLP) active in the national directory?
FLORENCE LILIAN CANNON (MS CCC SLP)'s public NPI profile is in an active state.
What kind of provider is FLORENCE LILIAN CANNON (MS CCC SLP)?
The page reflects Speech-Language Pathologist for FLORENCE LILIAN CANNON (MS CCC SLP). Clinical services aligned with this taxonomy classification.
What location shows for FLORENCE LILIAN CANNON (MS CCC SLP)?
We surface Tucker, Georgia for FLORENCE LILIAN CANNON (MS CCC SLP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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