IndividualActive
John Connelly, PH.D.LPC.LRC
NPI 1710149042 · Cognitive & Behavioral Psychologist · Pennsauken, NJ
Provider details
- NPI number
- 1710149042
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.LPC.LRC
- Sex
- Male
- Sole proprietor
- Yes
- License
- PC912,RC1012 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6500 Madison Ave
Suite 5b
Pennsauken, NJ 08109-2766
Phone: (856) 488-6285
Fax: (856) 663-4743
Approximate (ZIP-level) locationGet directions
Mailing address
6500 Madison Ave
Pennsauken, NJ 08109-2766
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.