Organization · Type 2 NPI

Kelly Wilder-Willis, PHD LLC

Clinical Neuropsychologist · Red Bank, NJ

NPI number 1508047754 Active

Practice location

51 Harrison Ave
Red Bank, NJ 07701-2333

Mailing address

PO Box 8264
Red Bank, NJ 07701-8264

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000X35SI00446400 (NJ)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1508047754

Kelly Wilder-Willis, PHD LLC's National Provider Identifier is 1508047754, issued on Nov 15, 2007. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Red Bank, NJ. The record was last updated on Nov 15, 2007.