AVERY CONNOLLY
NPI 1407313653
Counselor - Professional in Berwyn, PA
Active since February 25, 2019
About Avery Connolly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERY CONNOLLY (NPI 1407313653) is an individual professional provider in Berwyn, Pennsylvania, licensed in Pennsylvania (PC010411) and active in the NPI registry since February 2019.
NPPES Registry Identity
NPI1407313653
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAVERY CONNOLLY
Location Address95 HOWELLVILLE RDBerwyn, PA 19312-1307
Mailing Address95 Howellville RdBerwyn, PA 19312-1307 · (610) 647-1431
Phone(610) 647-1431
Sole ProprietorNo
Enumeration DateFebruary 25, 2019
✔ NPI 1407313653 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 PA · PC010411
95 HOWELLVILLE RD, Berwyn, PA 19312
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407313653, enumerated as an "individual" on February 25, 2019.
The provider is located at 95 HOWELLVILLE RD BERWYN, PA 19312 and the phone number is (610) 647-1431.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
