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:
Health care specialties
| Specialty | Code | License # | 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 12 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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