NPI 1104900489

Kelly S Earnst, PHDHSPP

Practitioner Clinical Neuropsychologist Lafayette, IN

Practice location

Address: 1415 Salem St Suite 102, Lafayette, IN 47904-4100
Phone: (765) 742-1816
Fax: (765) 742-2557
Mailing address: 202 Myers Rd, Danville, IN 46122-9702

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20041614A

Other Clinical Neuropsychologist providers in Indiana →

Registry record

NPI: 1104900489
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2006
Record last updated: 27 Jun 2022

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.