Individual
DR. JACQUELYN CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11 HAMMOND LN, SUITE B, PLATTSBURGH, NY 12901-2003
(518) 565-3113
Mailing address
11 HAMMOND LN, SUITE B, PLATTSBURGH, NY 12901-2003
(518) 565-3113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008891
NY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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