KELLY M. JANKE PHD
NPI 1104207190
Clinical Neuropsychologist in Philadelphia, PA
- Individual
- Female
- Clinical Neuropsychologist
About KELLY JANKE
This page provides the complete NPI Profile along with additional information for Kelly Janke, a provider established in Philadelphia, Pennsylvania with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1104207190 assigned on June 2015. The practitioner's primary taxonomy code is 103G00000X with license number PS018668 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1104207190 Verify this NPI
- Provider Name
- KELLY M. JANKE PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3501 CIVIC CENTER BLVD # 10209 PHILADELPHIA, PA 19104
- Location Phone
- (267) 425-0169
- Mailing Address
- 3501 CIVIC CENTER BLVD # 10209 PHILADELPHIA, PA 19104
- Mailing Phone
- (267) 425-0169
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2015
- Last Update Date
- 03-27-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS018668
- License State
- PA
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 021059 (NY) |
Reviews for KELLY M. JANKE PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104207190, enumerated as an "individual" on June 15, 2015.
The provider is located at 3501 CIVIC CENTER BLVD # 10209 PHILADELPHIA, PA 19104 and the phone number is (267) 425-0169.
Clinical Neuropsychologist with taxonomy code 103G00000X.
