Individual
DR. ALLEN DALE MCCONNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 979-7766
Mailing address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
(614) 475-9821
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7561
OH
103TC0700X
Clinical Psychologist
6301015977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301015977
LICENSE #
MI
01
—
7561
LICENSE # 7561
OH
Enumeration date
04/02/2015
Last updated
07/21/2022
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