Connelly, Fansie

Connelly, Fansie is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Connelly, Fansie can be contacted via phone (732) 745-6667.

Contact Information

Primary practice address
254 Easton Ave New Brunswick NJ 08901-1766
Phone: (732) 745-6667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04530600 New Jersey

Profile Details

NPI number 1558649509
LBN Legal business name Connelly, Fansie
Credentials CDE, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2011
Last updated Jul 25th, 2011 - about 14 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

Popular Providers