| Karin Connelly Phd Psychology Coaching Pllc | |
|
1 Commons Dr Lake Katrine NY 12449-5149 | |
| (845) 750-0476 | |
| (845) 336-4014 |
| Full Name | Karin Connelly Phd Psychology Coaching Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Commons Dr, Lake Katrine, New York |
| Authorized Official Name and Position | Karin A Connelly (PSYCHOLOGIST) |
| Authorized Official Contact | 8457500476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karin Connelly Phd Psychology Coaching Pllc 1 Commons Dr Lake Katrine NY 12449-5149 Ph: (845) 750-0476 | Karin Connelly Phd Psychology Coaching Pllc 1 Commons Dr Lake Katrine NY 12449-5149 Ph: (845) 750-0476 |
| NPI Number | 1265854996 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/15/2014 |
| Medicare PECOS PAC ID | 0749411874 |
|---|---|
| Medicare Enrollment ID | O20140402001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265854996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 012496 (New York) | Primary |
| Provider Name | Karin Connelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356393052 PECOS PAC ID: 5294757126 Enrollment ID: I20060530000231 |
The Institute For Family Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Fording Place Rd, Lake Katrine, NY 12449 Phone: 845-943-3642 Fax: 845-382-6069 |