Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY M. JANKE, PHD
ActiveKELLY M. JANKE, PHD is a Clinical Neuropsychologist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1104207190 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1104207190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2015 (11.208455054547 yrs)
- Last Updated
- Mar 27, 2020
- Licenses
-
021059 (NY)PS018668 (PA)
Practice Information
- Address
-
3501 CIVIC CENTER BLVD # 10209PHILADELPHIA, PA, 191043820Browse PA providers · Browse ZIP 19104
- Phone
- 2674250169
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MAUREEN GIBNEY | PSYD | 1386641132 |
| DR. RUSSELL RICHARD WOESSNER | PSY.D. | 1689629016 |
| DR. MITZIE L GRANT | PHD. | 1063453439 |
| SANDRA KOFFLER | PHD. | 1285679514 |
| KATHY A LAWLER | PHD | 1023040359 |
| EDWARD A MAITZ | PHD | 1558381251 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.