Individual
CATHLEEN TERESA CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1361 13TH AVE S STE 270, JACKSONVILLE BEACH, FL 32250-3258
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY7785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00754145
RAILROAD MEDICARE PART B
FL
Enumeration date
09/09/2008
Last updated
04/08/2026
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