Individual
JEREMY PAUL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S BROAD ST, SUITE 7, NEW ORLEANS, LA 70119-6447
(504) 309-9991
(504) 309-9930
Mailing address
1101 NAPOLEON AVE APT E, NEW ORLEANS, LA 70115-2800
(504) 598-6402
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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