Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Koenig

Individual provider Clinical Psychologist · NPI 1104782549

Carly Koenig is a Clinical Psychologist in Jb Andrews, Maryland. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Phone: (240) 857-8964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS020645 (PA)

Record details

NPI number1104782549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address8117 Burholme Ave, Philadelphia, PA 19111-1810

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