Doctor Name: | DR. RICHARD CONNELL |
NPI Number: | 1427026640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 26860 |
Business Practice Address: | 207 E 2nd St Lampasas, TX - 765502804 |
Business Phone Number: | 5125551212 |
Business Fax Number: | |
Mailing Address: | 207 E 2nd St, LAMPASAS |
State: | TX |
Postal Code: | 765502804 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 26860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |