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Contact Information

JOSEPH T CONNELLY
1414 UNRUH AVE
PHILADELPHIA, PA19111-4910
 Phone: 215-742-0554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for JOSEPH T CONNELLY · (Male)

NPI Number 1205001971
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2008
Last updated 04/24/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS003268L
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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