Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Cannon, PHD

Individual provider Clinical Neuropsychologist · NPI 1316236326

Alicia Cannon, PHD is a Clinical Neuropsychologist in Baltimore, Maryland. Licensed in Maryland and Virginia. Registered with an NPI since 2011.

Licensed in
MD, VA
In the registry since
2011
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1750 E Fairmount Ave
Baltimore, MD 21231-1534
Phone: (443) 923-4442
Fax: (443) 923-4403
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Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 05106 (MD)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 0810004365 (VA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 05106 (MD)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810004365 (VA)

Record details

NPI number1316236326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 30, 2011
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

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