| Doctor Name: | SUZANNE MAE CONNOLLY |
| NPI Number: | 1033224423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW MSW |
| License Number: | LCSW-1454 |
| Business Practice Address: | 70 Payne Place Suite 6 Sedona, AZ - 863364536 |
| Business Phone Number: | 9282822627 |
| Business Fax Number: | 9282820121 |
| Mailing Address: | 70 Payne Place, Suite 6 SEDONA |
| State: | AZ |
| Postal Code: | 863364536 |
| Phone Number: | 9282822627 |
| Fax Number: | 9282820121 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 10/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW-1454 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |