Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WILDER-WILLIS, PH.D.
Active Sole ProprietorKELLY WILDER-WILLIS, PH.D. is a Clinical Neuropsychologist healthcare provider located in RED BANK, New Jersey. NPI 1184642571 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · RED BANK, NJ
Registration Details
- NPI Number
- 1184642571
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2006 (20.083248492616 yrs)
- Last Updated
- Jul 9, 2012
- License
-
PS00857 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
51 HARRISON AVERED BANK, NJ, 077012333Browse NJ providers · Browse ZIP 07701
- Phone
- 7326184950
- Fax
- 7322191910
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in RED BANK, NJ
| Name | Credential | NPI |
|---|---|---|
| SARAH L SEVERINO | PSY.D. | 1396189734 |
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.