NPI 1336025790
Kaci Wilson, PSYD
Practice location
- Address
- 1573 W Fairbanks Ave STE 220, Winter Park, FL 32789-4679
- Phone
- (407) 303-7991
- Mailing address
- 4170 Sage Brush Cir, Melbourne, FL 32901-8225
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1336025790
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Aug 2025
- Record last updated
- 12 Aug 2025
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.