IndividualActive
Kelly Earnst, PH.D, HSPP
NPI 1104900489 · Clinical Neuropsychologist · Lafayette, IN
Provider details
- NPI number
- 1104900489
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D, HSPP
- Sex
- Male
- Sole proprietor
- No
- License
- 20041614A
Practice location
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
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.