Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN MICHAEL CONNOLLY, B.S
Active Sole ProprietorSEAN MICHAEL CONNOLLY, B.S is a Psychologist healthcare provider located in MEDFORD, Oregon. NPI 1821367624 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MEDFORD, OR
Registration Details
- NPI Number
- 1821367624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2011 (14.617215591674 yrs)
- Last Updated
- Dec 11, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 SOUTH HOLLY STREETMEDFORD, OR, 97501Browse OR providers · Browse ZIP 97501
- Phone
- 5417748200
- Fax
- 5417747964
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. RICK JACOBS | PH D | 1740272715 |
| DR. JOHN MICHAEL GRAM | PSY.D. | 1477630689 |
| DR. DIANE LYNN DUBOW | PH.D. | 1891855268 |
| DR. MICHAEL FRANCIS O'CONNELL | PH.D. | 1013055623 |
| DR. JEFFREY PATRICK FRY | PH.D., NCSP | 1144428855 |
| DR. LANI C. FUJITSUBO | PH.D. | 1447485552 |
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.