Wadham, Connie Louise

Wadham, Connie Louise is an sole proprietor health care provider with primary practice located at 3613 Williams Dr Ste 304 , Georgetown TX 78628-1369. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wadham, Connie Louise can be contacted via phone (512) 400-4247.

Contact Information

Primary practice address
3613 Williams Dr Ste 304 Georgetown TX 78628-1369
Phone: (512) 400-4247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT025785 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 68854 Texas

Profile Details

NPI number 1700665254
LBN Legal business name Wadham, Connie Louise
Credentials LMT, LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2023
Last updated Sep 25th, 2023 - about 3 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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