KELLY STANEK, PHD

Clinical Neuropsychologist

Active Individual
NPI: 1063862639

Practice Address

1120 15TH ST
Augusta, GA 30912

Phone: (706) 721-4581

Specialties

Specialty Code Primary License
Clinical Neuropsychologist 103G00000X No 3375-057 (WI)

Frequently Asked Questions

NPI 1063862639 is the National Provider Identifier for KELLY STANEK, PHD, a Clinical Neuropsychologist provider located in Augusta, GA. This NPI was enumerated on June 15, 2016.
KELLY STANEK, PHD practices at 1120 15TH ST, Augusta, GA 30912.

Quick Facts

NPI
1063862639
Type
Individual
Enumerated
Jun 15, 2016
Last Updated
Aug 4, 2023

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