Kisser, Jason Edward

Kisser, Jason Edward is an individual health care provider with primary practice located at 3915 Golden Valley Rd , Minneapolis MN 55422-4249. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kisser, Jason Edward can be contacted via phone (612) 262-3464.

Contact Information

Primary practice address
3915 Golden Valley Rd Minneapolis MN 55422-4249
Phone: (612) 262-3464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301017201 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6782 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301017201 Michigan
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP6782 Minnesota

Profile Details

NPI number 1770141673
LBN Legal business name Kisser, Jason Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jun 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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