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Contact Information

JEREMY P CONNOLLY
200 S BROAD ST
SUITE 7
NEW ORLEANS, LA70119-6447
 Phone: 504-309-9991
 Fax: 504-309-9930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEREMY P CONNOLLY · (Male)

NPI # 1700328432
Status Active
Credentials
Entity Individual
Enumeration date 11/11/2016
Last updated 11/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers Not Available
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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