Individual provider · Type 1 NPI

Tara Marie Connelly, MBBCH, PhD

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1487233813 Active

Practice location

Main Campus Cleveland Clinic 9500 Euclid AVENUE/NA-23
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487233813

Tara Marie Connelly, MBBCH, PhD's National Provider Identifier is 1487233813, issued on Apr 4, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 4, 2021.