Individual
CASSANDRA MARIE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
116 HILLS PLZ, CHARLESTON, WV 25387-2438
(304) 720-4466
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1328
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
09/12/2022
Last updated
07/24/2023
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