MRS. ELIZABETH CONNELLY PC - NPI 1396133757 - Counselor in Beavercreek, OH

Q: What is Elizabeth Connelly's NPI number?

The NPI number for Elizabeth Connelly is 1396133757. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Q: What is Elizabeth Connelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

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About Mrs. Elizabeth Connelly Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELIZABETH CONNELLY PC (NPI 1396133757) is an individual professional provider in Beavercreek, Ohio, licensed in Ohio (C1400542) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1396133757

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. ELIZABETH CONNELLYCredential: PC

Location Address1411 N FAIRFIELD RDBeavercreek, OH 45432-2658

Mailing Address1411 N Fairfield RdBeavercreek, OH 45432-2658 · (937) 426-2686 · Fax (937) 426-6230

Phone(937) 426-2686

Fax(937) 426-6230

Sole ProprietorNo

Enumeration DateJanuary 7, 2015

✔ NPI 1396133757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · C1400542

1411 N FAIRFIELD RD, Beavercreek, OH 45432

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALLISON NEWLIN PC

Marriage & Family Therapist