Organization
CONNOLLY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEO CONNOLLY JR. PSY.D. (LICENSED PSYCHOLOGIST)
(626) 768-1083
Entity
Organization
Contact information
Practice address
1499 HUNTINGTON DR STE 301, SOUTH PASADENA, CA 91030-5446
(626) 768-1083
(626) 270-7002
Mailing address
PO BOX 1196, SUITE 301, CLAREMONT, CA 91711-1196
(626) 768-1083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23835
CA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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