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

DR. NICHOLAS MATTHEW WISDOM, PH.D.

Active

DR. NICHOLAS MATTHEW WISDOM, PH.D. is a Clinical Neuropsychologist healthcare provider located in HOUSTON, Texas. NPI 1912260779 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · HOUSTON, TX

Registration Details

NPI Number
1912260779
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2012 (14.157808832198 yrs)
Last Updated
Apr 21, 2025
Licenses
2032 (KS)
2032 (KS)

Practice Information

Address
1300 BAY AREA BLVD STE B150-15
HOUSTON, TX, 770582505
Browse TX providers · Browse ZIP 77058
Phone
2819546828
Fax
3462230296
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in HOUSTON, TX

Name Credential NPI
DR. JENNIE L REXER PHD 1245223445
DR. JOHN W LARGEN JR. PHD 1265425466
KIMBERLY M RENNIE PHD 1336193341
DR. MATTHEW LEMUEL NANCE PH.D. 1104867860
MARY R PRASAD PH.D. 1710922836
LINDA EWING-COBBS PH.D. 1487680021
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.