Dr. Jennifer Lynn Poulos
Clinical Child & Adolescent Psychologist
340 Boulevard Ne Suite 345
Atlanta
, Georgia 30312-1273
Dr. Jennifer Lynn Poulos
Clinical Child & Adolescent Psychologist
340 Boulevard Ne Suite 345
Atlanta
, Georgia 30312-1273
(770) 656-1365
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Lynn Poulos
- 1170 N Highland Ave Ne B10
- Atlanta, GA
- Zip : 30306-3400
- Phone : (770) 656-1365
Second Address
- Dr. Jennifer Lynn Poulos
- 340 Boulevard Ne Suite 345
- Atlanta, GA
- Zip : 30312-1273
- Fax : (404) 653-0466
- Phone : (404) 653-0322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003708 | GA |
National Provider Identifier
| NPI | 1063846509 |
|---|---|
| Provider Name | Dr. Jennifer Lynn Poulos |
| First Address | Atlanta, GA 30306-3400 |
| Second Address | Atlanta, GA 30312-1273 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.