Individual
MRS. MARGARET CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3101 N GREEN RIVER RD, SUITE 910, EVANSVILLE, IN 47715-1369
(812) 479-1916
(812) 479-5014
Mailing address
3101 N GREEN RIVER RD, SUITE 910, EVANSVILLE, IN 47715-1369
(812) 479-1916
(812) 479-5014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040779
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000267330
ANTHEM BC/BS PROVIDER NUM
IN
Enumeration date
06/02/2006
Last updated
02/29/2008
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