Connell, David K

Connell, David K is an sole proprietor health care provider with primary practice located at 1011 N Byrne Rd , Toledo OH 43607-2710. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Connell, David K can be contacted via phone (419) 788-7019.

Contact Information

Primary practice address
1011 N Byrne Rd Toledo OH 43607-2710
Phone: (419) 788-7019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4675 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4675 Ohio

Profile Details

NPI number 1750387577
LBN Legal business name Connell, David K
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jul 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750387577 NPPES
Ohio MEDICAID 2332676
Ohio Other 463779000
Ohio Other 000000503824
Ohio Other 5692018
Ohio Other 291267
Ohio Other P00322126

Popular Providers