Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEXANDER PERRY WILLETT, PSYD
ActiveDR. ALEXANDER PERRY WILLETT, PSYD is a Clinical Neuropsychologist healthcare provider located in BLOOMINGTON, Illinois. NPI 1710493770 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1710493770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2017 (8.6217674353717 yrs)
- Last Updated
- Dec 28, 2017
- Licenses
-
071009688 (IL)071009688 (IL)
Practice Information
- Address
-
808 S ELDORADO RD STE 102BLOOMINGTON, IL, 617046075Browse IL providers · Browse ZIP 61704
- Phone
- 3097063190
- Fax
- 3095884115
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
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.