IndividualActive
Alexander Willett, PSYD
NPI 1710493770 · Clinical Neuropsychologist · Bloomington, IL
Provider details
- NPI number
- 1710493770
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 071009688 (IL)
Practice location
808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Phone: (309) 706-3190
Fax: (309) 588-4115
Mailing address
808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Registry dates
- Enumerated
- 2017-12-28
- Last updated
- 2017-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.