Individual
KELLY M MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E 53RD ST, NEW YORK, NY 10022-5243
(468) 880-0266
Mailing address
633 3RD AVE FL 4, NEW YORK, NY 10017-6943
(468) 880-0266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020908-1
NY
Other
Enumeration date
07/13/2007
Last updated
02/28/2024
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