CONNIE CONLEY JUNG


Address: 1151 Harbor Bay Parkway #137, Alemeda, CA 94502
Phone: 5107691078

CONNIE CONLEY JUNG (NPI# 1245374750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245374750
Entity Type Individual
Full Name CONNIE CONLEY JUNG
Other Name CONNIE RENATE CONLEY
Credential PHD
Practice Address 1151 Harbor Bay Parkway #137
Alemeda
CA 94502
Practice Telephone 5107691078
Mailing Telephone 5107691078
Enumeration Date 2007-02-16
Last Update Date 2013-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY19875 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1151 HARBOR BAY PARKWAY #137
City ALEMEDA
State CA
Zip Code 94502

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City ALEMEDA
Zip Code 94502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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