Doctor Name: | KELLY WOLFE |
NPI Number: | 1366820086 |
Entity Type Code: | Individual (1) |
Gender: | F |
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Business Practice Address: | 13123 E 16th Ave B 155 Aurora, CO - 800457106 |
Business Phone Number: | 5095935235 |
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Mailing Address: | 105 E Frankfort St, COLUMBUS |
State: | OH |
Postal Code: | 432062011 |
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NPI Enumeration Date: | 05/14/2015 |
NPI Last Update Date: | 05/14/2015 |
Replacement NPI: | 0 |
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Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
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Healthcare Provider Taxonomy: (Secondary) | Y |
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Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
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Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |