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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1154407583 NPPES
Ohio MEDICAID 2540432

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