IndividualActive
Colby Wiley, PHD
NPI 1366079907 · Clinical Neuropsychologist · Geneva, IL
Provider details
- NPI number
- 1366079907
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 071010334 (IL)
Practice location
302 Randall Rd Ste 308
Geneva, IL 60134-4205
Phone: (630) 524-5845
Fax: (630) 208-3007
Mailing address
302 Randall Rd Ste 308
Geneva, IL 60134-4205
Registry dates
- Enumerated
- 2020-03-24
- Last updated
- 2021-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.