Gary Michael Connell in Erie - Mental Health

Gary Michael Connell - NPI 1104986694

Gary Michael Connell is a Mental Health in Erie, Pennsylvania. Gary Michael Connell practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gary Michael Connell is 1104986694. The last update date is 2007-07-08.

Gary Michael Connell's current location address is 3939 W Ridge Rd, Erie, Pennsylvania. You can contact this provider via phone number 8148360936. The mailing address for Gary Michael Connell is 3939 W Ridge Rd, Erie, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Michael Connell
Address 3939 W Ridge Rd, Erie, Pennsylvania
Phone Number 8148360936
Fax Number
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1104986694
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3939 W Ridge Rd
City Erie
State Pennsylvania (PA)
Post Code 165061879
Phone Number 8148360936
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No PC000402
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Gary Michael Connell

What is the unique provider identifier assigned to Gary Michael Connell?

The Gary Michael Connell has been issued the NPI (National Provider Identifier) 1104986694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Gary Michael Connell?

The Gary Michael Connell is situated at 3939 W Ridge Rd, in the city of Erie, state of PA, with the zip code 165061879.

What is Gary Michael Connell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gary Michael Connell is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104986694 to Gary Michael Connell?

The Centers for Medicare & Medicaid Services originally issued the 1104986694 to Gary Michael Connell on 2006-12-12.

As of what date were the Gary Michael Connell's details last updated?

The information pertaining to the Gary Michael Connell, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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