Individual
DR. JOHN T CONNELLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.LPC.LRC
Contact information
Practice address
6500 MADISON AVE, SUITE 5B, PENNSAUKEN, NJ 08109-2766
(856) 488-6285
(856) 663-4743
Mailing address
6500 MADISON AVE, SUITE 5B, PENNSAUKEN, NJ 08109-2766
(856) 488-6285
(856) 663-4743
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PC912,RC1012
NJ
Other
Enumeration date
06/27/2008
Last updated
07/07/2008
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