O'Connell, Carol L
O'Connell, Carol L is an individual health care provider with primary practice located at 1701 N Green Valley Pkwy Suite 2A, Henderson NV 89074-5885. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Connell, Carol L can be contacted via phone (702) 650-0590.Contact Information
Primary practice address
1701 N Green Valley Pkwy Suite 2A
Henderson NV 89074-5885
Phone: (702) 650-0590
Fax: (702) 650-0591
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0608 | Nevada |
Profile Details
NPI number | 1154407583 |
---|---|
LBN Legal business name | O'Connell, Carol L |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Sep 27th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154407583 | NPPES |
Ohio | MEDICAID | 2540432 |
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