Connolly, Cathleen Teresa

Connolly, Cathleen Teresa is an individual health care provider with primary practice located at 900 Beach Blvd Suite 930, Jacksonville Beach FL 32250-4368. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Connolly, Cathleen Teresa can be contacted via phone (904) 376-3800.

Contact Information

Primary practice address
900 Beach Blvd Suite 930 Jacksonville Beach FL 32250-4368
Phone: (904) 376-3800
Fax: (904) 396-8968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY7785 Florida

Profile Details

NPI number 1437307956
LBN Legal business name Connolly, Cathleen Teresa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated May 13th, 2022 - about 2 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 1437307956 NPPES
Florida Other P00754145 RAILROAD MEDICARE PART B

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