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NPI Profile for EDWARD F CORNELL III in NEW HAVEN, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X | |||
Pastoral |
101YP1600X |
| NPI # | 1154699155 |
|
| Status | Active | |
| Credentials | M.DIV. | |
| Entity | Individual | |
| Enumeration date | 12/05/2011 | |
| Last updated | 12/05/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EDWARD F CORNELL III
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EDWARD F CORNELL III, M.DIV.