NPI 1063862639

Kelly M Stanek, PHD

Practitioner Clinical Neuropsychologist Augusta, GA

Practice location

Address: 1120 15th St, Augusta, GA 30912-0004
Phone: (706) 721-4581
Mailing address: 1120 15th St # Or6000, Augusta, GA 30912-0004

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY004125 (GA)

Other Clinical Neuropsychologist providers in Georgia →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 3375-057 (WI)

Registry record

NPI: 1063862639
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2016
Record last updated: 4 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.