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Contact Information

MICHAEL MCCONNELL
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ86503
 Phone: 928-674-7166
 Fax: 928-674-7705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL MCCONNELL · (Male)

NPI Number 1881047835
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2016
Last updated 07/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ Other 1717 STATE LICENSE
Hospital affiliation(s)
  • CHINLE COMPREHENSIVE HEALTH CARE FACILITY - (Acute Care)
    US HWY 191, HOSPITAL ROAD
    CHINLE, AZ 86503
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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