Conley, Ray D
Conley, Ray D is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805-3404. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Conley, Ray D can be contacted via phone (260) 481-2700.Contact Information
Primary practice address
909 E State Blvd
Fort Wayne IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 33000992A | Indiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000955A | Indiana |
Profile Details
| NPI number | 1891062725 |
|---|---|
| LBN Legal business name | Conley, Ray D |
| Credentials | LSW , LCAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2011 |
| Last updated | Feb 6th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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