Connolly, Avery

Connolly, Avery is an individual health care provider with primary practice located at 95 Howellville Rd , Berwyn PA 19312-1307. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Connolly, Avery can be contacted via phone (610) 647-1431.

Contact Information

Primary practice address
95 Howellville Rd Berwyn PA 19312-1307
Phone: (610) 647-1431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC010411 Pennsylvania

Profile Details

NPI number 1407313653
LBN Legal business name Connolly, Avery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2019
Last updated Feb 25th, 2019 - about 5 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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