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Contact Information

KATIE E CONNELL, PhD
24500 CENTER RIDGE ROAD
BUILDING 4, SUITE 100
WESTLAKE, OH44415-5602
 Phone: 440-899-1300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATIE E CONNELL · (Female)

NPI # 1891912960
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/19/2007
Last updated 11/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 4745
  • OH License # 6502
  • Other 152304 UCARE
  • MN Other 374T1FA BLUE CROSS BLUE SHIELD OF MN
  • MN Other A030 CHAMPUS TRIWEST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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