Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Wilder-Willis, PHD LLC

Organization Clinical Neuropsychologist · NPI 1508047754

Kelly Wilder-Willis, PHD LLC is a Clinical Neuropsychologist in Red Bank, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

51 Harrison Ave
Red Bank, NJ 07701-2333
Phone: (732) 618-4950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 35SI00446400 (NJ)

Record details

NPI number1508047754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wilder-Willis — Owner · (732) 618-4950
NPI enumeratedNovember 15, 2007
Last updated in NPPESNovember 15, 2007
Mailing addressPo Box 8264, Red Bank, NJ 07701-8264

Other providers in Red Bank