Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Wilder-Willis, PHD

Individual provider Clinical Neuropsychologist · NPI 1184642571

Kelly Wilder-Willis, PHD is a Clinical Neuropsychologist in Red Bank, New Jersey. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

51 Harrison Ave
Red Bank, NJ 07701-2333
Phone: (732) 618-4950
Fax: (732) 219-1910
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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 PS00857 (RI)

Record details

NPI number1184642571
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 9, 2012

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