Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY M STANEK, PHD
ActiveKELLY M STANEK, PHD is a Clinical Neuropsychologist healthcare provider located in AUGUSTA, Georgia. NPI 1063862639 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · AUGUSTA, GA
Registration Details
- NPI Number
- 1063862639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2016 (10.130068488484 yrs)
- Last Updated
- Aug 4, 2023
- Licenses
-
PSY004125 (GA)3375-057 (WI)
Practice Information
- Address
-
1120 15TH STAUGUSTA, GA, 309120004Browse GA providers · Browse ZIP 30912
- Phone
- 7067214581
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DEBRA LYNN PIERCE | PH.D. | 1104846161 |
| MORRIS J. COHEN | EDD | 1053414995 |
| DR. JAMES M SCHEAR | PH.D. | 1972628667 |
| DR. JEREMY B. HERTZA | PSY.D | 1528237955 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.