Individual provider · Type 1 NPI
Carly Koenig
Clinical Psychologist · Jb Andrews, MD
Practice location
1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Mailing address
8117 Burholme Ave
Philadelphia, PA 19111-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PS020645 (PA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1104782549
Carly Koenig's National Provider Identifier is 1104782549, issued on Dec 30, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jb Andrews, MD. The record was last updated on Dec 30, 2025.