Reisetter, Tressa Kay

Reisetter, Tressa Kay is an individual health care provider with primary practice located at 621 Red Oak Dr , Big Lake MN 55309-9585. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Reisetter, Tressa Kay can be contacted via phone (612) 597-2737.

Contact Information

Primary practice address
621 Red Oak Dr Big Lake MN 55309-9585
Phone: (612) 597-2737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2019014342 Missouri
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP4752 Minnesota

Profile Details

NPI number 1467597567
LBN Legal business name Reisetter, Tressa Kay
Credentials PHD, LP, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 17th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467597567 NPPES
Other 14450911 CAQH

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