Edward Leo Connolly in Oakland - Clinical
Edward Leo Connolly - NPI 1093872103
Edward Leo Connolly is a Clinical in Oakland, New Jersey. Edward Leo Connolly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Leo Connolly is 1093872103. The last update date is 2007-07-08.
Edward Leo Connolly's current location address is 9 Post Rd, Oakland, New Jersey. You can contact this provider via phone number 2014051991 and fax number 2015810376. The mailing address for Edward Leo Connolly is 9 Post Rd, Oakland, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Leo Connolly |
|---|---|
| Address | 9 Post Rd, Oakland, New Jersey |
| Phone Number | 2014051991 |
| Fax Number | 2015810376 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093872103 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 Post Rd |
|---|---|
| City | Oakland |
| State | New Jersey (NJ) |
| Post Code | 74361615 |
| Phone Number | 2014051991 |
| Fax Number | 2015810376 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35SI00381600 |
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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 |
|---|---|---|---|
| 10764753 | NJ | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Leo Connolly by the Centers for Medicare & Medicaid Services (CMS)?
The Edward Leo Connolly has been assigned the NPI (National Provider Identifier) 1093872103. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Edward Leo Connolly is physically located?
The Edward Leo Connolly is situated at the following address: 9 Post Rd, Oakland, NJ 74361615.
What is Edward Leo Connolly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Leo Connolly is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Edward Leo Connolly receive its 1093872103 assignment?
The Edward Leo Connolly was assigned its 1093872103 on 2007-01-02, which is the date when this unique identifier was issued to the organization.
As of what date were the Edward Leo Connolly's details last updated?
The information pertaining to the Edward Leo Connolly, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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