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Organization
SOMERVILLE PSYCH CONSULTATION INC.
Active
Organization
SOMERVILLE PSYCH CONSULTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CONNOLLY PSY.D (PRESIDENT)
(626) 202-5550
Entity
Organization
Contact information
Practice address
201 W 4TH ST, SUITE 205, CLAREMONT, CA 91711
(626) 202-5550
(626) 270-7002
Mailing address
PO BOX 1196, CLAREMONT, CA 91711
(626) 202-5550
(626) 270-7002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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