Provider Demographics
NPI:1952325730
Name:CONROY, JOSEPH E (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:CONROY
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:1859 N PARIS AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PORT ROYAL
Mailing Address - State:SC
Mailing Address - Zip Code:29935-2029
Mailing Address - Country:US
Mailing Address - Phone:732-859-0213
Mailing Address - Fax:800-853-3788
Practice Address - Street 1:1859 N PARIS AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:PORT ROYAL
Practice Address - State:SC
Practice Address - Zip Code:29935-2029
Practice Address - Country:US
Practice Address - Phone:732-859-0213
Practice Address - Fax:800-853-3788
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2016-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ3356103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist