Individual
DR. EDWARD LEO CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9 POST RD, SUITE D-1, OAKLAND, NJ 07436-1615
(201) 405-1991
(201) 581-0376
Mailing address
9 POST RD, SUITE D-1, OAKLAND, NJ 07436-1615
(201) 405-1991
(201) 581-0376
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00381600
NJ
103TC0700X
Clinical Psychologist
35SI00381600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10764753
CAQH
NJ
Enumeration date
01/02/2007
Last updated
09/11/2025
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