Individual
JESSICA PAN CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3500 PIEDMONT RD NE STE 740, ATLANTA, GA 30305-1507
(404) 875-2050
Mailing address
2620 TALLEY ST, DECATUR, GA 30030-4125
(617) 230-1167
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
07/21/2023
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