Wilder-Willis, Kelly

Wilder-Willis, Kelly is an sole proprietor health care provider with primary practice located at 51 Harrison Ave , Red Bank NJ 07701-2333. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wilder-Willis, Kelly can be contacted via phone (732) 618-4950.

Contact Information

Primary practice address
51 Harrison Ave Red Bank NJ 07701-2333
Phone: (732) 618-4950
Fax: (732) 219-1910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS00857 Rhode Island

Profile Details

NPI number 1184642571
LBN Legal business name Wilder-Willis, Kelly
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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