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

Timothy E Gannon

Individual provider Counselor · NPI 1356676936

Timothy E Gannon is a Counselor in Worcester, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

86 Plantation St
Worcester, MA 01604
Phone: (508) 459-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1356676936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2009
Last updated in NPPESOctober 15, 2009
Mailing address86 Plantation St, Worcester, MA 01604-3024

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