Mr. Edward F Cornell III
Counselor Pastoral Counselor Mental Health Counselor
501 Lombard St
New Haven
, Connecticut 06513-2910
Mr. Edward F Cornell III
Counselor Pastoral Counselor Mental Health Counselor
501 Lombard St
New Haven
, Connecticut 06513-2910
(203) 787-2207
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About
Features
Specialties
- Counselor
- Mental Health Counselor
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mr. Edward F Cornell III
- 501 Lombard St
- New Haven, CT
- Zip : 06513-2910
- Phone : (203) 787-2207
Second Address
- Mr. Edward F Cornell III
- 501 Lombard St
- New Haven, CT
- Zip : 06513-2910
- Phone : (203) 787-2207
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 101YM0800X | Mental Health Counselor | ||
| N | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1154699155 |
|---|---|
| Provider Name | Mr. Edward F Cornell III |
| First Address | New Haven, CT 06513-2910 |
| Second Address | New Haven, CT 06513-2910 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.