| Doctor Name: | MS. WENDY LEE CONNELLY |
| NPI Number: | 1376808345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LMHC |
| License Number: | 18 005181 |
| Business Practice Address: | 405 Vliet Blvd Cohoes, NY - 120472019 |
| Business Phone Number: | 5182374263 |
| Business Fax Number: | 5182381036 |
| Mailing Address: | 405 Vliet Blvd, COHOES |
| State: | NY |
| Postal Code: | 120472019 |
| Phone Number: | 5182374263 |
| Fax Number: | 5182381036 |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 18 005181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |