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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY S EARNST, PH.D, HSPP

Active

KELLY S EARNST, PH.D, HSPP is a Clinical Neuropsychologist healthcare provider located in LAFAYETTE, Indiana. NPI 1104900489 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · LAFAYETTE, IN

Registration Details

NPI Number
1104900489
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2006 (19.836319847092 yrs)
Last Updated
Jun 27, 2022
License
20041614A

Practice Information

Address
1415 SALEM ST
SUITE 102
LAFAYETTE, IN, 479044100
Browse IN providers · Browse ZIP 47904
Phone
7657421816
Fax
7657422557
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in LAFAYETTE, IN

Name Credential NPI
JILL E SALEM PH.D., HSPP 1104908706
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.