Dr Patrick John Connolly, PHD is a
Marriage & Family Therapist based in Kendallville, Indiana. Dr Patrick John Connolly is licensed to practice in Indiana (license number 35000034A) and his current practice location is
109 E Williams St, Kendallville, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 347-5725.
NPI number for Dr Patrick John Connolly is 1578733911 and his current mailing address is 109 E Williams St, Kendallville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578733911.
Healthcare Provider's Profile
Full Name | Dr Patrick John Connolly |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 109 E Williams St, Kendallville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578733911
- Provider Enumeration Date: 02/29/2008
- Last Update Date: 02/29/2008
Medical Identifiers
Medical identifiers for Dr Patrick John Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578733911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 35000034A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Patrick John Connolly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Patrick John Connolly, PHD 109 E Williams St, Kendallville, IN 46755-1743 Ph: (260) 347-5725 | Dr Patrick John Connolly, PHD 109 E Williams St, Kendallville, IN 46755-1743 Ph: (260) 347-5725 |
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