| Nicole Connolly Ph.d., Psychologist, A Professional Corporation | |
|
25050 Peachland Ave Ste 250 Newhall CA 91321-5755 | |
| (661) 430-9300 | |
| Not Available |
| Full Name | Nicole Connolly Ph.d., Psychologist, A Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 25050 Peachland Ave Ste 250, Newhall, California |
| Authorized Official Name and Position | Nicole Connolly (CEO) |
| Authorized Official Contact | 6614309300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Connolly Ph.d., Psychologist, A Professional Corporation 29565 Sequoia Rd Santa Clarita CA 91387-6243 Ph: (310) 613-3588 | Nicole Connolly Ph.d., Psychologist, A Professional Corporation 25050 Peachland Ave Ste 250 Newhall CA 91321-5755 Ph: (661) 430-9300 |
| NPI Number | 1659074623 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659074623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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