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

KELLY WILDER-WILLIS, PHD LLC

Active Organization

KELLY WILDER-WILLIS, PHD LLC is a Clinical Neuropsychologist organization located in RED BANK, New Jersey. NPI 1508047754 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · RED BANK, NJ

Registration Details

NPI Number
1508047754
Provider Type
Organization
NPI Issued
Nov 15, 2007 (18.559749653194 yrs)
Last Updated
Nov 15, 2007
License
35SI00446400 (NJ)

Practice Information

Address
51 HARRISON AVE
RED BANK, NJ, 077012333
Browse NJ providers · Browse ZIP 07701
Phone
7326184950
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Organizations in RED BANK, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.