Rachelle Ann Connolly
Individual provider Active NPI School Psychologist · Lincoln, CA
NPI 1245097633 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1245097633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 210160299 (CA)
- Practice address
- 3152 Le Bourget LN
Lincoln, CA 95648-9695 - Phone
- (916) 337-1258
- NPI assigned
- Mar 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210160299 | CA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 210160299 | CA | Yes |
Addresses
Primary practice location
3152 Le Bourget LN
Lincoln, CA 95648-9695
Mailing address
3152 Le Bourget LN
Lincoln, CA 95648-9695
Phone (916) 337-1258
Other providers in Lincoln, CA
- Jiho Choi
- Nicholas Oliver Christenson
- John Chui
- Rita Jean Ciarriocco Kloos
- Laura Concepcion
- Bernadette Contreras
- Barbara Ann Cooney
- Brian Christopher Crawford
- Create Behavior Change Consulting, LLC, Limited Liability Co.
- Abbey Crews
All providers in Lincoln, CA · School Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.