James William Connelly in Meridian - Clinical
James William Connelly - NPI 1841324332
James William Connelly is a Clinical in Meridian, Idaho. James William Connelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for James William Connelly is 1841324332. The last update date is 2013-04-30.
James William Connelly's current location address is 2076 S Eagle Rd, Meridian, Idaho. You can contact this provider via phone number 2089557333 and fax number 2089557330. The mailing address for James William Connelly is 2076 S Eagle Rd, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James William Connelly |
|---|---|
| Address | 2076 S Eagle Rd, Meridian, Idaho |
| Phone Number | 2089557333 |
| Fax Number | 2089557330 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1841324332 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2013-04-30 |
Provider Mailing Address Detail
| Address | 2076 S Eagle Rd |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426707 |
| Phone Number | 2089557333 |
| Fax Number | 2089557330 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 202425 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2269500 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James William Connelly by the Centers for Medicare & Medicaid Services?
The James William Connelly has been assigned the NPI (National Provider Identifier) 1841324332 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where James William Connelly is physically located?
The James William Connelly is physically situated at the following address: 2076 S Eagle Rd, Meridian, ID, 836426707.
What is James William Connelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James William Connelly is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841324332 to James William Connelly?
The Centers for Medicare & Medicaid Services assigned the 1841324332 to James William Connelly on 2007-03-15.
As of what date were the details related to James William Connelly most recently updated or revised?
The information pertaining to James William Connelly, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-30.