Individual provider · Type 1 NPI

Christopher John Cannon, PhD

Clinical Psychologist · Detroit, MI

NPI number 1396664355 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6351004848 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1396664355

Christopher John Cannon, PhD's National Provider Identifier is 1396664355, issued on Jul 14, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 11, 2026.