Eary, Connie Ray

Eary, Connie Ray is an individual health care provider with primary practice located at 2805 Birdcreek Dr , Temple TX 76502-1101. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Eary, Connie Ray can be contacted via phone (254) 760-2664.

Contact Information

Primary practice address
2805 Birdcreek Dr Temple TX 76502-1101
Phone: (254) 760-2664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6434 Texas

Profile Details

NPI number 1972510782
LBN Legal business name Eary, Connie Ray
Credentials PH.D, LPC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Feb 14th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972510782 NPPES
Texas MEDICAID 172647301

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