KELLY WILDER-WILLIS

RED BANK, NJ
NPI1184642571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: RI  PS00857)
Enumeration Date2006-07-17
Last Update Date2012-07-09
Business Address
-- KELLY WILDER-WILLIS Ph.D.
51 HARRISON AVE
RED BANK, NJ 07701-2333
Phone number: 732-618-4950
Mailing Address
-- KELLY WILDER-WILLIS Ph.D.
51 HARRISON AVE
RED BANK, NJ 07701-2333
Phone number: 732-618-4950