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DR. MEDRIA LOU CONNOLLY PH.D. NPI 1164540316


NPI Information

NPI: 1164540316
Provider Name: DR. MEDRIA LOU CONNOLLY, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
2444 WILSHIRE BLVD
SUITE 500
SANTA MONICA, CA
ZIP 90403
Phone: (310) 264-2602
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DR. Medria Lou Connolly, PH.D. is a clinical psychologist in Santa Monica, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Medria Lou Connolly, PH.D. NPI is 1164540316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2444 WILSHIRE BLVD
SUITE 500
SANTA MONICA, CA
ZIP 90403-808
Phone: (310) 264-2602
Fax: (310) 264-2601

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY9977CALIFORNIAYes
2103TC2200XPsychologistClinical Child & AdolescentPSY9977CALIFORNIAX
3103T00000XPsychologistPSY9977CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.