Provider Demographics
NPI:1205186178
Name:VOLKMANN, JEFFREY (PHD, ABPP)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:VOLKMANN
Suffix:
Gender:M
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 12TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1810
Mailing Address - Country:US
Mailing Address - Phone:401-465-6336
Mailing Address - Fax:
Practice Address - Street 1:4101 12TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1810
Practice Address - Country:US
Practice Address - Phone:401-465-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1000660103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist