Katie Elizabeth Connell in Berea - Forensic
Katie Elizabeth Connell - NPI 1891912960
Katie Elizabeth Connell is a Forensic in Berea, Ohio. Katie Elizabeth Connell practices all healthcare services and medical treatments related to Forensic. The NPI Number for Katie Elizabeth Connell is 1891912960. The last update date is 2008-11-20.
Katie Elizabeth Connell's current location address is 61 Riverside Dr, Berea, Ohio. You can contact this provider via phone number 5072022932. The mailing address for Katie Elizabeth Connell is 61 Riverside Dr, Berea, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie Elizabeth Connell |
|---|---|
| Address | 61 Riverside Dr, Berea, Ohio |
| Phone Number | 5072022932 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1891912960 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2008-11-20 |
Provider Mailing Address Detail
| Address | 61 Riverside Dr |
|---|---|
| City | Berea |
| State | Ohio (OH) |
| Post Code | 440171978 |
| Phone Number | 5072022932 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 4745 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A030 | MN | CHAMPUS TRIWEST | |
| 374T1FA | MN | BLUE CROSS BLUE SHIELD OF MN | |
| 152304 | UCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Katie Elizabeth Connell by the Centers for Medicare & Medicaid Services?
The Katie Elizabeth Connell has been assigned the NPI (National Provider Identifier) 1891912960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Katie Elizabeth Connell is physically located?
The Katie Elizabeth Connell is physically situated at the following address: 61 Riverside Dr, Berea, OH, 440171978.
What is the Katie Elizabeth Connell's area of specialization and corresponding taxonomy classification?
The Katie Elizabeth Connell's specialty field is Forensic, and it falls under the taxonomy code 103Tf0200X, which categorizes healthcare providers based on their specialties.
On what date did the Katie Elizabeth Connell receive the assignment of its 1891912960 from the Centers for Medicare & Medicaid Services?
The Katie Elizabeth Connell was issued its 1891912960 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date were the Katie Elizabeth Connell's details last updated?
The information pertaining to the Katie Elizabeth Connell, including its address, specialty, and other details, was most recently updated on 2008-11-20.