Provider Demographics
NPI:1689192692
Name:CONNELL, JENNIFER MURRAY (MSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MURRAY
Last Name:CONNELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PENN STATE UNIVERSITY, DEPARTMENT OF PSYCHOLOGY
Mailing Address - Street 2:264 MOORE BUILDING
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:16802
Mailing Address - Country:US
Mailing Address - Phone:814-865-2791
Mailing Address - Fax:
Practice Address - Street 1:PENN STATE PSYCHOLOGICAL CLINIC
Practice Address - Street 2:MOORE BUILDING, 3RD FLOOR
Practice Address - City:UNIVERSITY PARK
Practice Address - State:PA
Practice Address - Zip Code:16802
Practice Address - Country:US
Practice Address - Phone:814-865-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0058091041C0700X
PACW0197221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical