NPI 1154870814

Jessica Pan Conklin, PHD

Practitioner Clinical Neuropsychologist Atlanta, GA

Practice location

Address: 3500 Piedmont Rd NE STE 740, Atlanta, GA 30305-1507
Phone: (404) 875-2050
Mailing address: 2620 Talley St, Decatur, GA 30030-4125

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Georgia →

Registry record

NPI: 1154870814
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2016
Record last updated: 21 Jul 2023

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.