Conner, Virginia Lea

Conner, Virginia Lea is an sole proprietor health care provider with primary practice located at 141 S Mccormick St Ste 109 , Prescott AZ 86303. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Conner, Virginia Lea can be contacted via phone (928) 710-8800.

Contact Information

Primary practice address
141 S Mccormick St Ste 109 Prescott AZ 86303
Phone: (928) 710-8800
Fax: (928) 777-8020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1004 Arizona
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1004 Arizona

Profile Details

NPI number 1295958023
LBN Legal business name Conner, Virginia Lea
Credentials EDD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jun 27th, 2018 - about 7 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 1295958023 NPPES
Arizona Other 860969406 FEDERAL ID NUMBER

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