Individual
DAVID K CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1011 N BYRNE RD, TOLEDO, OH 43607-2710
(419) 788-7019
Mailing address
PO BOX 8440, TOLEDO, OH 43623-0440
(419) 788-7019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4675
OH
103TC0700X
Clinical Psychologist
Primary
4675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503824
ANTHEM BC
OH
05
—
2332676
—
OH
01
—
291267
TRICARE CHAMPUS
OH
01
—
463779000
MAGELLAN
OH
01
—
5692018
AETNA
OH
01
—
P00322126
RR MEDICARE
OH
Enumeration date
06/27/2005
Last updated
07/19/2013
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