Connolly, Edward Leo

Connolly, Edward Leo is an sole proprietor health care provider with primary practice located at 9 Post Rd Suite D-1, Oakland NJ 07436-1615. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Connolly, Edward Leo can be contacted via phone (201) 405-1991.

Contact Information

Primary practice address
9 Post Rd Suite D-1 Oakland NJ 07436-1615
Phone: (201) 405-1991
Fax: (201) 581-0376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 35SI00381600 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00381600 New Jersey

Profile Details

NPI number 1093872103
LBN Legal business name Connolly, Edward Leo
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1093872103 NPPES
New Jersey Other 10764753 CAQH

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