Individual
JENNIFER E MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LPA
Contact information
Practice address
8840 BLAKENEY PROFESSIONAL DR, SUITE 200, CHARLOTTE, NC 28277-6718
(704) 552-0116
(704) 552-7550
Mailing address
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210-3269
(704) 552-0116
(704) 552-7550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2618
NC
Other
Enumeration date
04/15/2009
Last updated
08/13/2009
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