Dr. John T Connelly Jr., PHDLPCLRC
Psychologist, Cognitive & Behavioral in Pennsauken, New Jersey
1710149042- Practice location
- 6500 Madison Ave, Suite 5B, Pennsauken, NJ 08109-2766
- Phone
- 856-488-6285
- Fax
- 856-663-4743
- Last updated
- July 7, 2008
John T Connelly is a Psychologist, Cognitive & Behavioral based in Pennsauken, NJ. John T Connelly practices in Pennsauken, NJ and has the professional credentials of PHDLPCLRC. The NPI Number for John T Connelly is 1710149042 and holds a License No. PC912,RC1012 (NJ). The current practice location address for John T Connelly is 6500 Madison Ave, Suite 5B, Pennsauken, NJ 08109-2766 and can be reached out via phone at 856-488-6285 and via fax at 856-663-4743.
Provider Profile Details
- NPI Number
- 1710149042
- Provider Name
- John T Connelly
- Credential
- PHDLPCLRC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6500 Madison Ave, Suite 5B, Pennsauken, NJ 08109-2766
- Phone Number
- 856-488-6285
- Fax Number
- 856-663-4743
- Primary Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2008
- Last Update Date
- July 7, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6500 Madison Ave
Suite 5B
Pennsauken, NJ 08109-2766 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08109-2766
- Phone Number
- 856-488-6285
- Fax Number
- 856-663-4743
Provider Business Mailing Address Details
- Address
- 6500 Madison Ave
Suite 5B
Pennsauken, NJ 08109-2766 - City
- Pennsauken
- State
- NJ
- Zip
- 08109-2766
- Phone Number
- 856-488-6285
- Fax Number
- 856-663-4743
License Information
- License Number
- PC912,RC1012
- License State
- NJ
- Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. John T Connelly Jr., PHDLPCLRC?
The NPI number of Dr. John T Connelly Jr., PHDLPCLRC is 1710149042. It was assigned on June 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. John T Connelly Jr., PHDLPCLRC?
Dr. John T Connelly Jr., PHDLPCLRC is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in NJ under license number PC912,RC1012.
Where does Dr. John T Connelly Jr., PHDLPCLRC practice?
The practice location is 6500 Madison Ave, Suite 5B, Pennsauken, NJ 08109-2766. The office can be reached at 856-488-6285 (phone) or 856-663-4743 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710149042 directly on the NPPES registry website.