| Doctor Name: | CONNIE G LOY |
| NPI Number: | 1669859385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.S.W. |
| License Number: | LSW0000010355 |
| Business Practice Address: | 224 Old Mill Rd Wartburg, TN - 378874163 |
| Business Phone Number: | 4233466221 |
| Business Fax Number: | 4233465565 |
| Mailing Address: | Po Box 408, WARTBURG |
| State: | TN |
| Postal Code: | 378870408 |
| Phone Number: | 4233466221 |
| Fax Number: | 4233465565 |
| NPI Enumeration Date: | 05/01/2015 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW0000010355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |