Individual provider · Type 1 NPI

Nicholas Matthew Wisdom, PhD

Clinical Neuropsychologist · League City, TX

NPI number 1912260779 Active

Practice location

112 Magnolia Estates Dr
League City, TX 77573-4719

Fax (346) 223-0296

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XPY10489 (FL)
Clinical Psychologist 103TC0700X37585 (TX)
Clinical Neuropsychologist 103G00000X1549 (LA)
Clinical Psychologist 103TC0700XPY10489 (FL)
Clinical Neuropsychologist Primary 103G00000X37585 (TX)
Clinical Psychologist 103TC0700X1549 (LA)

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 1912260779

Nicholas Matthew Wisdom, PhD's National Provider Identifier is 1912260779, issued on Jun 18, 2012. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in League City, TX. The record was last updated on Sep 30, 2026.