Connell, Katie Elizabeth

Connell, Katie Elizabeth is an sole proprietor health care provider with primary practice located at 24500 Center Ridge Road Building 4, Suite 100, Westlake OH 44415-5602. She recently has 3 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 / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Connell, Katie Elizabeth can be contacted via phone (440) 899-1300.

Contact Information

Primary practice address
24500 Center Ridge Road Building 4, Suite 100 Westlake OH 44415-5602
Phone: (440) 899-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6502 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4745 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6502 Ohio
Behavioral Health & Social Service Providers / Forensic 103TF0200X 4745 Minnesota
Behavioral Health & Social Service Providers / Forensic 103TF0200X 6502 Ohio

Profile Details

NPI number 1891912960
LBN Legal business name Connell, Katie Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Nov 20th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891912960 NPPES
Minnesota Other A030 CHAMPUS TRIWEST
Minnesota Other 374T1FA CHAMPUS TRIWEST
Minnesota Other 152304 CHAMPUS TRIWEST

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