Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN T CONNELLY JR., PH.D.LPC.LRC
Active Sole ProprietorDR. JOHN T CONNELLY JR., PH.D.LPC.LRC is a Cognitive & Behavioral Psychologist healthcare provider located in PENNSAUKEN, New Jersey. NPI 1710149042 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · PENNSAUKEN, NJ
Registration Details
- NPI Number
- 1710149042
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2008 (18.141893355125 yrs)
- Last Updated
- Jul 7, 2008
- License
-
PC912,RC1012 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6500 MADISON AVESUITE 5BPENNSAUKEN, NJ, 081092766Browse NJ providers · Browse ZIP 08109
- Phone
- 8564886285
- Fax
- 8566634743
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.