MEDICARE: MARY E GANNON MA PCC

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	101YP2500X	Professional Counselor	E.0900421	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	822511633	OTHER	OH	TAX ID

General Provider Information

NPI Number	:	1821337445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY E GANNON MA PCC

Provider Business Mailing Address
First Line	:	918 E SCHAAF RD
Second Line	:
City	:	BROOKLYN HEIGHTS
State	:	OH
Zip	:	44131-1224
Country	:	US
Telephone Number	:	216-543-4359
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W SCHAAF RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4608
Country	:	US
Telephone Number	:	614-706-7554
Fax Number	:

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

Provider Enumeration Date	:	02/01/2013
Last Update Date	:	01/14/2022

Similar Medicare Providers

1659708428 — DR. DIANE T SMITH DSW, LISW-S, LICDC
Practice Location Address:

2020 W SCHAAF RD
CLEVELAND, OH
44109-4608

Practice Phone: 216-202-5118
Practice Fax:

1114136421 — MS. BARBARA U. STREETER MS, L.P.C.C.
Practice Location Address:

2119 ELANDON DR
CLEVELAND, OH
44106-4608

Practice Phone: 216-421-9935
Practice Fax:

1669275889 — DR. JONATHAN DAVID ANDERSON MD
Practice Location Address:

2500 METROHEALTH DR
CLEVELAND, OH
44109-1900

Practice Phone: 216-778-3468
Practice Fax:

1235072380 — DONNA SHESLER
Practice Location Address:

3518 W 25TH ST
CLEVELAND, OH
44109-1951

Practice Phone: 216-741-2241
Practice Fax:

1508709668 — MYRANDA LEIGH BRUNN
Practice Location Address:

3518 W 25TH ST
CLEVELAND, OH
44109-1951

Practice Phone: 216-741-2241
Practice Fax:

1346262607 — DR. JOHN L. WAGNER M.D.
Practice Location Address:

2500 METROHEALTH DR
CLEVELAND, OH
44109-1998

Practice Phone: 216-778-7344
Practice Fax: 216-778-8300

Directions to “ MARY E GANNON MA PCC” 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.