NPI 1104207190

Kelly M. Janke, PHD

Practitioner Clinical Neuropsychologist Philadelphia, PA

Practice location

Address: 3501 Civic Center Blvd # 10209, Philadelphia, PA 19104-3820
Phone: (267) 425-0169

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PS018668 (PA)

Other Clinical Neuropsychologist providers in Pennsylvania →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 021059 (NY)

Registry record

NPI: 1104207190
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2015
Record last updated: 27 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.