NPI | 1912588088 |
---|---|
Doing Business As | KELLY CORNETT |
Entity Type | Organization |
Authorized Contact | KELLY AKIKO CORNETT Owner/Neuropsychologist 425-209-0828 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Enumeration Date | 2021-04-19 |
Last Update Date | 2021-04-29 |