Individual
DR. ELLIOTT LANGLOIS CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5000 14TH ST NW, WASHINGTON, DC 20011-6926
(703) 982-0211
Mailing address
5000 14TH ST NW, WASHINGTON, DC 20011-6926
(703) 982-0211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810-004805
VA
103TC0700X
Clinical Psychologist
Primary
PSY1001012
DC
Other
Enumeration date
11/19/2012
Last updated
09/06/2019
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