Dr Jennifer Lynn Poulos, PSYD - Psychologist in Atlanta, GA

Dr Jennifer Lynn Poulos, PSYD is a Psychologist - Clinical Child & Adolescent based in Atlanta, Georgia. Dr Jennifer Lynn Poulos is licensed to practice in Georgia (license number PSY003708) and her current practice location is 340 Boulevard Ne, Suite 345, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 653-0322.

NPI number for Dr Jennifer Lynn Poulos is 1063846509 and her current mailing address is 1170 N Highland Ave Ne, B10, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063846509.

Contact Information

Dr Jennifer Lynn Poulos, PSYD
340 Boulevard Ne, Suite 345,
Atlanta, GA 30312-1273
(404) 653-0322
(404) 653-0466



Healthcare Provider's Profile

Full NameDr Jennifer Lynn Poulos
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location340 Boulevard Ne, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063846509
  • Provider Enumeration Date: 09/01/2013
  • Last Update Date: 09/01/2013

Medical Identifiers

Medical identifiers for Dr Jennifer Lynn Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063846509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent PSY003708 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Lynn Poulos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennifer Lynn Poulos, PSYD
1170 N Highland Ave Ne, B10,
Atlanta, GA 30306-3400

Ph: (770) 656-1365
Dr Jennifer Lynn Poulos, PSYD
340 Boulevard Ne, Suite 345,
Atlanta, GA 30312-1273

Ph: (404) 653-0322

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