Connolly, Sean Michael

Connolly, Sean Michael is an sole proprietor health care provider with primary practice located at 140 South Holly Street , Medford OR 97501. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Connolly, Sean Michael can be contacted via phone (541) 774-8200.

Contact Information

Primary practice address
140 South Holly Street Medford OR 97501
Phone: (541) 774-8200
Fax: (541) 774-7964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1821367624
LBN Legal business name Connolly, Sean Michael
Credentials B.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2011
Last updated Dec 11th, 2014 - about 10 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