Kelly Wilder-Willis, Phd LLC
Clinical Neuropsychologist in Red Bank, NJ. Organization (NPI-2).
NPI number1508047754
StatusActive
Last updated in NPPESNov 15, 2007
Details
- NPI
- 1508047754
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly Wilder-Willis, Phd LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2007
- Last updated
- Nov 15, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 35si00446400 | NJ | Yes |
Practice location
51 Harrison AveRed Bank, NJ 07701-2333
Phone 732-618-4950
Mailing address
Po Box 8264Red Bank, NJ 07701-8264
Phone 732-618-4950
Authorized official
Kelly Elizabeth Wilder-Willis
Owner
7326184950
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Neuropsychologist providers in Red Bank, NJ
- Digit LLCNPI 1437791993
- Radwa Bahaa Mokhtar, PSY.D.NPI 1831025915
- Red Bank Neurorehabilitation Associates, LLCNPI 1780930834
- Sarah L Severino, PSY.D.NPI 1396189734
- Kelly Wilder-Willis, PH.D.NPI 1184642571
All 6 Clinical Neuropsychologist providers in Red Bank · All 1,651 providers in Red Bank
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