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Individual
DR. PHILIPPA CONNOLLY
Active
Individual
DR. PHILIPPA CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023912-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023912-01
NYS EDUCATION DEPT, OFFICE OF THE PROFESSIONS, CLINICAL PSYCHOLOGY
NY
Enumeration date
11/17/2020
Last updated
11/17/2020
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