Dr John T Connelly Jr, PHDLPCLRC is a
Psychologist - Cognitive & Behavioral based in Pennsauken, New Jersey. Dr John T Connelly Jr is licensed to practice in New Jersey (license number PC912,RC1012) and his current practice location is
6500 Madison Ave, Suite 5b, Pennsauken, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 488-6285.
NPI number for Dr John T Connelly Jr is 1710149042 and his current mailing address is 6500 Madison Ave, Suite 5b, Pennsauken, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710149042.
Healthcare Provider's Profile
Full Name | Dr John T Connelly Jr |
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Gender | Male |
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Speciality | Psychologist - Cognitive & Behavioral |
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Location | 6500 Madison Ave, Pennsauken, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710149042
- Provider Enumeration Date: 06/27/2008
- Last Update Date: 07/07/2008
Medical Identifiers
Medical identifiers for Dr John T Connelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710149042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | PC912,RC1012 (New Jersey) | 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 John T Connelly Jr 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 John T Connelly Jr, PHDLPCLRC 6500 Madison Ave, Suite 5b, Pennsauken, NJ 08109-2766 Ph: (856) 488-6285 | Dr John T Connelly Jr, PHDLPCLRC 6500 Madison Ave, Suite 5b, Pennsauken, NJ 08109-2766 Ph: (856) 488-6285 |
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