MEDICARE: DR. LAURELYN DEE CANNON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	LPC #196	CO

General Provider Information

NPI Number	:	1376777110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURELYN DEE CANNON PH.D.

Provider Business Mailing Address
First Line	:	4618 CONSTITUTION AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1005
Country	:	US
Telephone Number	:	719-596-1058
Fax Number	:

Provider Business Practice Location Address
First Line	:	4618 CONSTITUTION AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1005
Country	:	US
Telephone Number	:	719-596-1058
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

Similar Medicare Providers

1164953154 — PREMISE HEALTH OF COLORADO MEDICAL PC
Practice Location Address:

1855 TELSTAR DR
COLORADO SPRINGS, CO
80920-1005

Practice Phone: 719-533-8586
Practice Fax: 719-533-8228

1033326749 — RUDY HABERZETTL MSPT
Practice Location Address:

1855 TELSTAR DR
COLORADO SPRINGS, CO
80920-1005

Practice Phone: 719-310-1741
Practice Fax:

1952772220 — MOMENTUM PHYSICAL & SPORTS REHABILITATION LIMITED PARTNERSHIP
Practice Location Address:

1855 TELSTAR DR
COLORADO SPRINGS, CO
80920-1005

Practice Phone: 719-533-8553
Practice Fax:

1235605007 — TAYLOR NICOLE KNESE MSN, FNP-C
Practice Location Address:

1855 TELSTAR DR # A02
COLORADO SPRINGS, CO
80920-1005

Practice Phone: 719-533-8586
Practice Fax: 719-265-3019

1770381659 — CENTERPOINTE HEALTH PARTNERS
Practice Location Address:

162 TRACKER DR
COLORADO SPRINGS, CO
80921-1005

Practice Phone: 719-219-9819
Practice Fax: 719-302-3678

1619776838 — WHITNEY MARIE BOSTON APRN
Practice Location Address:

4870 W OLD FARM CIR
COLORADO SPRINGS, CO
80917-1005

Practice Phone: 719-313-0556
Practice Fax:

Directions to “ DR. LAURELYN DEE CANNON PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.